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Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce
Open accessAbstract
Access to good-quality health services is crucial for the improvement of many health outcomes, such as those targeted by the Millennium Development Goals (MDGs) adopted by the international community in 2000. The health-related MDGs cannot be achieved if vulnerable populations do not have access to skilled personnel and to other necessary inputs. This paper focuses on the geographical dimension of access and on one of its critical determinants: the availability of qualified personnel. The objective of this paper is to offer a better understanding of the determinants of geographical imbalances in the distribution of health personnel, and to identify and assess the strategies developed to correct them. It reviews the recent literature on determinants, barriers and the effects of strategies that attempted to correct geographical imbalances, with a focus on empirical studies from developing and developed countries. An analysis of determinants of success and failures of strategies implemented, and a summary of lessons learnt, is included.
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Citations
Cited by
Lehmann, U., Dieleman, M., & Martineau, T. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-19 · Cited by 650
Rural practice preferences among medical students in Ghana: a discrete choice experiment
Kruk, M. E., Johnson, J. C., Gyakobo, M., Agyei-Baffour, P., Asabir, K., Kotha, S. R., Kwansah, J., Nakua, E., Snow, R. C., & Dzodzomenyo, M. (2010) · Bulletin of the World Health Organization · doi:10.2471/blt.09.072892 · Cited by 165
Rouleau, D., Fournier, P., Philibert, A., Mbengue, B., & Dumont, A. (2012) · Human Resources for Health · doi:10.1186/1478-4491-10-9 · Cited by 154
Huicho, L., Scherpbier, R. W., Nkowane, A. M., & Victora, C. G. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61401-4 · Cited by 91
Yusefi, A. R., Sharifi, M., Nasabi, N. S., Rezabeigi Davarani, E., & Bastani, P. (2022) · PLOS ONE · doi:10.1371/journal.pone.0262887 · Cited by 76
Metadata
- Authors
- Dussault, G., & Franceschini, M. C.
- Venue
- Human Resources for Health
- Published
- 2006-05-27
- Volume
- 4
- Issue
- 1
- Pages
- 12-12
- ISSN
- 1478-4491 (ISSN-L)
- OpenAlex
- W1857614722
- Cited by
- 752
- References
- 0
- FWCI
- 20.20
- Type
- journal article
- Language
- en
- Open access
- gold
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- Dussault, G., & Franceschini, M. C. (2006). Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Human Resources for Health. https://doi.org/10.1186/1478-4491-4-12
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
