ArticleHuman resources for health2024
Tackling the primary healthcare workforce crisis: time to talk about health systems and governance-a comparative assessment of nine countries in the WHO European region.
Article in Human resources for health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Organisational models of general practice and internal capacity for care coordination: a mixed-methods study from the Czech Republic.BMC primary care · 2026Article
- The general practice workforce crisis in Europe: scale of the challenge and available policy responses.The Lancet. Primary care · 2026Review
- Assessing the Critical Thinking and Training Needs of Healthcare Professionals, and Patient Experiences: An Exploratory Cross-Sectional Study in Primary Care of Crete, Greece.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Turning problems into progress for primary care research trainees: a mixed-methods analysis of an online cross-sectional survey.Frontiers in medicine · 2026Article
- Developing Soft Skills for Sustainable Community Pharmacy Practice Through a Competency-Based Modular Programme.Pharmacy (Basel, Switzerland) · 2025Article
- A novel policy dialogue to build sustainable and resilient health systems: findings from PHSSR Portugal.Health research policy and systems · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary healthcare has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. This study aims to bridge the gap between the primary healthcare policy and the ongoing healthcare workforce crisis debate by introducing a health system and governance approach to identify capacities that may help respond effectively to the HCWF crisis in health system contexts.
methodsA qualitative comparative methodology was employed, and a rapid assessment of the primary healthcare workforce was conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, and the United Kingdom/ England.
resultsOur findings reveal both convergence and pronounced diversity across the healthcare systems, with none fully aligning with the ideal attributes of primary healthcare suggested by WHO. However, across all categories, Denmark, the Netherlands, and to a lesser extent Kazakhstan, depict closer alignment to this model than the other countries. Workforce composition and skill-mix vary strongly, while disparities persist in education and data availability, particularly within Social Health Insurance systems. Policy responses and interventions span governance, organisational, and professional realms, although with weaknesses in the implementation of policies and a systematic lack of data and evaluation.
conclusionsAligning primary healthcare and workforce considerations within the broader health system context may help move the debate forward and build governance capacities to improve resilience in both areas.
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Registered trials
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