From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management

Throughout the world, countries are experiencing shortages of health care workers. Policy-makers and system managers have developed a range of methods and initiatives to optimise the available workforce and achieve the right number and mix of personnel needed to provide high-quality care. Our literature review found that such initiatives often focus more on staff types than on staff members' skills and the effective use of those skills. Our review describes evidence about the benefits and pitfalls of current approaches to human resources optimisation in health care. We conclude that in order to use human resources most effectively, health care organisations must consider a more systemic approach - one that accounts for factors beyond narrowly defined human resources management practices and includes organisational and institutional conditions

Revista de la OIM sobre migraciones en América Latina

The 14 Dependent Territories governed by the United Kingdom (UK) Foreign and Commonwealth Office include in alphabetic order Anguilla, Ascension Island and Tristan da Cunha, British Antarctic Territory, Bermuda, British Indian Ocean Territory, British Virgin Islands, Cayman Islands, Falkland Islands, Gibraltar, Montserrat, Pitcairn Island, St Helena, South Georgia and South Sandwich Islands, Sovereign Base Areas on Cyprus and the Turks and Caicos Islands (Fig. 1.1). UK governance responsibilities for these territories include the strengthening of democracy, environmental protection, improvement of public services and law enforcement (Oldfield and Sheppard 1997