5256.0: Wednesday, November 15, 2000 - 5:15 PM

Abstract #3325

HR and the success of health sector reform

Tim Martineau, MSc, International Health Division, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, United Kingdom, 44 151 708 9393, T.Martineau@liv.ac.uk and James Buchan, PhD, Department of Social Science and Health, Queen Margaret University College, Edinburgh, United Kingdom.

Though reforms in the health sector have recently been common around the world, their success has, for a variety of reasons, been mixed. The paper aims to examine and explain the importance of human resources (HR) to the success or failure of health reforms.

Health sector reform often focuses on changes in financing or organisational structure, but neglects a key resource - the staff. This may result in: inappropriately skilled staff for new tasks; poorly motivated staff; or even serious opposition to the reforms. Though reforms present many challenges in relation to the management of human resources, they also provide opportunities for alleviating long-standing staffing problems - such as the management of staff performance. Better staffing will contribute to the success of health reforms.

The complexity of managing staff in greatly increased at times of reforms and the reasons for failure to meet challenges and take up opportunities are many. However, based on experience of reforms around the world the authors suggest that the root of the problem is in the general lack of experience and relevant skills around managing HR in the context of reforms. The priority actions proposed are: 1. Awareness raising: creating better understanding of policy makers and managers of human resource management and planning, especially in relation to reforms. 2. Capacity building: creating the structures and capacities to implement appropriate HR strategies to support health reforms. 3. Adequate preparation of the workforce for changes due to reforms - especially where conditions of employment are affected.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. List the key reasons for the importance of human resources in the success of health sector reform. 2. Articulate three priority actions related to human resource management to ensure maximum chance of success of health reforms

Keywords: Workforce, Health Care Reform

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA