TY  - JOUR
A1  - Kuhlmann, Ellen
A1  - Lauxen, Oliver
A1  - Larsen, Christa
T1  - Regional health workforce monitoring as governance innovation : a german model to coordinate sectoral demand, skill mix and mobility
T2  - Human resources for health
N2  - Background: As health workforce policy is gaining momentum, data sources and monitoring systems have significantly improved in the European Union and internationally. Yet data remain poorly connected to policy-making and implementation and often do not adequately support integrated approaches. This brings the importance of governance and the need for innovation into play.
Case: The present case study introduces a regional health workforce monitor in the German Federal State of Rhineland-Palatinate and seeks to explore the capacity of monitoring to innovate health workforce governance. The monitor applies an approach from the European Network on Regional Labour Market Monitoring to the health workforce. The novel aspect of this model is an integrated, procedural approach that promotes a ‘learning system’ of governance based on three interconnected pillars: mixed methods and bottom-up data collection, strong stakeholder involvement with complex communication tools and shared decision- and policy-making. Selected empirical examples illustrate the approach and the tools focusing on two aspects: the connection between sectoral, occupational and mobility data to analyse skill/qualification mixes and the supply–demand matches and the connection between monitoring and stakeholder-driven policy.
Conclusion: Regional health workforce monitoring can promote effective governance in high-income countries like Germany with overall high density of health workers but maldistribution of staff and skills. The regional stakeholder networks are cost-effective and easily accessible and might therefore be appealing also to low- and middle-income countries.
KW  - Regional health workforce monitoring
KW  - Health workforce governance
KW  - Skill mix
KW  - Cross-border mobility
KW  - Transsectoral governance
KW  - Policy implementation
KW  - Germany
Y1  - 2016
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/44403
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-444030
SN  - 1478-4491
N1  - © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
VL  - 14
IS  - 1, Art. 71
SP  - 1
EP  - 9
PB  - Biomed Central
CY  - London
ER  -