Skill-mix Innovation, Effectiveness and Implementation: Improving Primary and Chronic Care

doi:10.1017/9781009031929

What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

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Contents

Skill-mix Innovation, Effectiveness and Implementation
pp i-i
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European Observatory on Health Systems and Policies - Series page
pp ii-iv
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Skill-mix Innovation, Effectiveness and Implementation - Title page
pp v-v
Improving Primary and Chronic Care
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Copyright page
pp vi-vi
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European Observatory on Health Systems and Policies
pp vii-vii
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Additional material
pp viii-viii
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Contents
pp ix-xii
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Figures
pp xiii-xiii
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Tables
pp xiv-xv
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Boxes
pp xvi-xvii
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Contributors
pp xviii-xix
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Abbreviations
pp xx-xxii
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Foreword
pp xxiii-xxv
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Acknowledgements
pp xxvi-xxviii
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1 - Skill-mix for primary and chronic care: definitions, conceptual framework and relevance for policy and practice
pp 1-38
- By Claudia B. Maier, Gemma A. Williams, Hannah Budde, Laura Pfirter, Reinhard Busse, Matthias Wismar
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2 - Skill-mix changes: what evidence on patient outcomes and health systems?
pp 39-69
- By Claudia B. Maier, Hannah Budde, Laura Pfirter, Marieke Kroezen
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3 - Implementing skill-mix changes: lessons for policy and practice
pp 70-82
- By Claudia B. Maier, Giada Scarpetti, Marieke Kroezen, Mathilde S. Akeroyd, Hannah Budde, Laura Pfirter, Matthias Wismar
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4 - Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion
pp 83-116
- By Stephan van den Broucke, Katarzyna Czabanowska, Hannah Budde, Laura Pfirter, Claudia B. Maier
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5 - Caring for people with acute conditions: transitional care, relocation of care and new division of work
pp 117-151
- By Ivy Bourgeault, Christine Bond, Romy Mahrer-Imhof, Hannah Budde, Bernd Rechel, Claudia B. Maier
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6 - Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care
pp 152-220
- By Juliane Winkelmann, Gemma A. Williams, Mieke Rijken, Katherine Polin, Claudia B. Maier
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7 - Long-term and palliative care at home: skill-mix innovations for enhanced responsiveness and satisfaction of patients and caregivers
pp 221-261
- By Elke Berger, Ramona Backhaus, Jan Hamers, Peter Pype, Pauline Boeckxstaens, Laura Pfirter, Claudia B. Maier
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9 - Education and planning: anticipating and responding to skill gaps, changing skill needs and competencies
pp 294-320
- By Ronald Batenburg, Marieke Kroezen
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10 - Implementing skill-mix innovations: role of policy and financing
pp 321-344
- By Giada Scarpetti, Claudia B. Maier, Hannah Budde, Dheepa Rajan, Erica Richardson, Walter Sermeus
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11 - Change management in health care settings: organizational strategies to foster skill-mix changes
pp 345-372
- By Marieke Kroezen, Ellen Kuhlmann, Christian Gericke, Gilles Dussault
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Index
pp 373-380
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Skill-mix Innovation, Effectiveness and Implementation

Improving Primary and Chronic Care

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Contents

Skill-mix Innovation, Effectiveness and Implementation
pp i-i

European Observatory on Health Systems and Policies - Series page
pp ii-iv

Skill-mix Innovation, Effectiveness and Implementation - Title page
pp v-v

Copyright page
pp vi-vi

European Observatory on Health Systems and Policies
pp vii-vii

Additional material
pp viii-viii

Contents
pp ix-xii

Figures
pp xiii-xiii

Tables
pp xiv-xv

Boxes
pp xvi-xvii

Contributors
pp xviii-xix

Abbreviations
pp xx-xxii

Foreword
pp xxiii-xxv

Acknowledgements
pp xxvi-xxviii

1 - Skill-mix for primary and chronic care: definitions, conceptual framework and relevance for policy and practice
pp 1-38

2 - Skill-mix changes: what evidence on patient outcomes and health systems?
pp 39-69

3 - Implementing skill-mix changes: lessons for policy and practice
pp 70-82

4 - Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion
pp 83-116

5 - Caring for people with acute conditions: transitional care, relocation of care and new division of work
pp 117-151

6 - Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care
pp 152-220

7 - Long-term and palliative care at home: skill-mix innovations for enhanced responsiveness and satisfaction of patients and caregivers
pp 221-261

8 - Addressing the particular challenges of patients living in rural and remote areas and for disadvantaged groups: skill-mix innovations to improve access and quality of care
pp 262-293

9 - Education and planning: anticipating and responding to skill gaps, changing skill needs and competencies
pp 294-320

10 - Implementing skill-mix innovations: role of policy and financing
pp 321-344

11 - Change management in health care settings: organizational strategies to foster skill-mix changes
pp 345-372

Index
pp 373-380

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Skill-mix Innovation, Effectiveness and Implementation

Improving Primary and Chronic Care

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