Table 1

Workforce implications of health sector reform

Objective/Proposed changes
Workforce implications

Efficiency/Decentralization
Decision power and authority transferred.
Transfer of personnel administration and budget
Efficiency/Outsourcing, privatization
Changes in contracts and working conditions
New institutional arrangements, threat to the power of trade unions
Equity
Geographical and public/private redeployment
New recruitment and retention mechanisms
Quality, user's satisfaction.
Changes in the qualifications/skills/attitudes needed.
New work configurations (ex. teamwork)
Balance of power between health personnel and users changed

(Adapted from Dussault & Dubois 2001 [29])

Rigoli and Dussault Human Resources for Health 2003 1:9   doi:10.1186/1478-4491-1-9