Display options
Cite
Dussault G, Franceschini MC. Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006;4:12doi: 10.1186/1478-4491-4-12.
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, 412. https://doi.org/10.1186/1478-4491-4-12
Dussault, Gilles, and Franceschini, Maria Cristina. "Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce." Human resources for health vol. 4 (2006): 12. doi: https://doi.org/10.1186/1478-4491-4-12
Dussault G, Franceschini MC. Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006 May 27;4:12. doi: 10.1186/1478-4491-4-12. PMID: 16729892; PMCID: PMC1481612.
Copy Download .nbib Format: NLM
Share it on

Hum Resour Health. 2006 May 27;4:12. doi: 10.1186/1478-4491-4-12.

Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce.

Human resources for health

Gilles Dussault, Maria Cristina Franceschini

Affiliations

  1. Human Development Department, World Bank Institute, Washington, DC, USA. [email protected]

PMID: 16729892 PMCID: PMC1481612 DOI: 10.1186/1478-4491-4-12

Abstract

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.

References

  1. Lancet. 2000 Jul 15;356(9225):245-6 - PubMed
  2. JAMA. 1999 Jan 20;281(3):255-60 - PubMed
  3. Bull World Health Organ. 1999;77(5):399-406 - PubMed
  4. Health Policy Plan. 2000 Sep;15(3):312-8 - PubMed
  5. Tidsskr Nor Laegeforen. 2000 Oct 30;120(26):3134-9 - PubMed
  6. Int J Med Inform. 2001 May;61(2-3):117-29 - PubMed
  7. N Engl J Med. 1993 Apr 1;328(13):934-9 - PubMed
  8. CMAJ. 1997 Oct 1;157(7):936-7 - PubMed
  9. Public Health Rep. 1986 Sep-Oct;101(5):513-21 - PubMed
  10. J Health Econ. 1987 Dec;6(4):365-74 - PubMed
  11. Ethiop Med J. 1992 Jul;30(3):151-7 - PubMed
  12. Soc Sci Med. 2000 Feb;50(3):317-29 - PubMed
  13. Int J Med Inform. 2001 May;61(2-3):113-6 - PubMed
  14. JAMA. 1992 Sep 23-30;268(12):1559-65 - PubMed
  15. J Health Econ. 2001 Sep;20(5):677-701 - PubMed
  16. Nurs Outlook. 1998 May-Jun;46(3):103-8 - PubMed
  17. J Rural Health. 2000 Spring;16(2):111-8 - PubMed
  18. Rev Panam Salud Publica. 2000 May;7(5):293-302 - PubMed
  19. Hum Resour Health. 2003 Nov 25;1(1):12 - PubMed
  20. Cah Sociol Demogr Med. 2003 Jul-Sep;43(3):485-504 - PubMed
  21. Educ Health (Abingdon). 2002;15(1):101-3 - PubMed
  22. Soc Sci Med. 1985;20(5):473-82 - PubMed
  23. Bull World Health Organ. 2002;80(6):445-50 - PubMed
  24. Hum Resour Health. 2003 Apr 14;1(1):1 - PubMed
  25. Soc Sci Med. 1989;29(10):1163-74 - PubMed
  26. Hum Resour Health. 2003 Nov 5;1(1):10 - PubMed
  27. Bull World Health Organ. 2002;80(7):581-4 - PubMed
  28. J Telemed Telecare. 2002 Dec;8 Suppl 3(6):29-33 - PubMed
  29. Soc Sci Med. 1986;22(5):527-33 - PubMed
  30. Health Policy Plan. 1998 Sep;13(3):332-8 - PubMed

Publication Types