Integrating competency analysis into national rehabilitation workforce evaluation: a case study.

Competency analysis Health workforce evaluation Rehabilitation workforce

Journal

Human resources for health
ISSN: 1478-4491
Titre abrégé: Hum Resour Health
Pays: England
ID NLM: 101170535

Informations de publication

Date de publication:
23 08 2023
Historique:
received: 26 01 2023
accepted: 14 07 2023
medline: 25 8 2023
pubmed: 24 8 2023
entrez: 23 8 2023
Statut: epublish

Résumé

Establishing a workforce capable of meeting population needs is contingent on evaluation that can inform sound policy and planning. Health workforce evaluation has traditionally relied on health labour market analysis and workload estimations. To date, competency analysis has not been included in national health workforce evaluation, despite that fact that the findings may go far in guiding decisions around workforce composition, optimisation and education and training. This case study sought to assess the feasibility and perceived added value of integrating competency analysis into national rehabilitation workforce evaluation, and to determine how competency analysis can shape rehabilitation workforce planning. The findings of the case study can be used to explore the integration of competency analysis in the evaluation of other health-related occupational groups. Participant observation was complemented by key informant interviews with experts engaged in the national rehabilitation workforce evaluation in Poland. These experts represented stakeholders in policy, education, research, clinical practice and professional associations. The results indicated that competency analysis can be feasibly integrated into national rehabilitation workforce evaluation, particularly when implementation is supported through the use of online platforms. However, the collection of additional data using other tools, such as a survey of the behaviours and tasks of a wider sample of rehabilitation workers, could strengthen data reliability. Experts perceived findings of the competency analysis to be valuable for expanding the understanding of rehabilitation, shedding light on task allocation and deployment of the existing rehabilitation workforce, and advocating for the rehabilitation workforce to be strengthened, especially in relation to those occupations which may not be recognised or valued as rehabilitation workers. Although it was not possible to fully explore the impact of competency analysis data on rehabilitation workforce planning and development in this study, experts suggested that its availability would likely foster greater cooperation among occupations, which has been missing at the policy and planning level to date. It further demonstrates what competency data should be collected and reported, and provides richer information to guide decisions. Competency analysis complements traditional labour market analysis and workload estimates, adding depth to the understanding of how members of the workforce perform and perceive themselves, and how deficiencies in the workforce impact on the provision of care to specific population groups.

Sections du résumé

BACKGROUND
Establishing a workforce capable of meeting population needs is contingent on evaluation that can inform sound policy and planning. Health workforce evaluation has traditionally relied on health labour market analysis and workload estimations. To date, competency analysis has not been included in national health workforce evaluation, despite that fact that the findings may go far in guiding decisions around workforce composition, optimisation and education and training. This case study sought to assess the feasibility and perceived added value of integrating competency analysis into national rehabilitation workforce evaluation, and to determine how competency analysis can shape rehabilitation workforce planning. The findings of the case study can be used to explore the integration of competency analysis in the evaluation of other health-related occupational groups.
METHODS
Participant observation was complemented by key informant interviews with experts engaged in the national rehabilitation workforce evaluation in Poland. These experts represented stakeholders in policy, education, research, clinical practice and professional associations.
RESULTS
The results indicated that competency analysis can be feasibly integrated into national rehabilitation workforce evaluation, particularly when implementation is supported through the use of online platforms. However, the collection of additional data using other tools, such as a survey of the behaviours and tasks of a wider sample of rehabilitation workers, could strengthen data reliability. Experts perceived findings of the competency analysis to be valuable for expanding the understanding of rehabilitation, shedding light on task allocation and deployment of the existing rehabilitation workforce, and advocating for the rehabilitation workforce to be strengthened, especially in relation to those occupations which may not be recognised or valued as rehabilitation workers. Although it was not possible to fully explore the impact of competency analysis data on rehabilitation workforce planning and development in this study, experts suggested that its availability would likely foster greater cooperation among occupations, which has been missing at the policy and planning level to date. It further demonstrates what competency data should be collected and reported, and provides richer information to guide decisions.
CONCLUSIONS
Competency analysis complements traditional labour market analysis and workload estimates, adding depth to the understanding of how members of the workforce perform and perceive themselves, and how deficiencies in the workforce impact on the provision of care to specific population groups.

Identifiants

pubmed: 37612589
doi: 10.1186/s12960-023-00843-3
pii: 10.1186/s12960-023-00843-3
pmc: PMC10463812
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

69

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

Références

Arch Phys Med Rehabil. 2021 Jun;102(6):1113-1123
pubmed: 33245940
Bull World Health Organ. 2022 Nov 1;100(11):747-748
pubmed: 36324554
Int J Environ Res Public Health. 2018 Oct 02;15(10):
pubmed: 30279358
J Rehabil Med. 2018 Apr 18;50(4):309-316
pubmed: 28140419
Arch Phys Med Rehabil. 2021 Mar;102(3):543-548
pubmed: 33239179
Arch Phys Med Rehabil. 2019 Nov;100(11):2215-2217
pubmed: 31653285
Glob Health Action. 2021 Jan 1;14(1):1903214
pubmed: 33904370
Disabil Rehabil. 2019 May;41(10):1227-1237
pubmed: 29303004
Hum Resour Health. 2021 Dec 20;19(1):154
pubmed: 34930337

Auteurs

Jody-Anne Mills (JA)

Department of Noncommunicable Diseases, World Health Organization, Avenue Appia 20, 1211, Geneva 27, Switzerland. millsj@who.int.

Weronika Krzepkowska (W)

World Health Organization Country Office, Poland, Al. Jerozolimskie 155, 02-326, Warsaw, Poland.

Alarcos Cieza (A)

Department of Noncommunicable Diseases, World Health Organization, Avenue Appia 20, 1211, Geneva 27, Switzerland.

Paloma Cuchi (P)

World Health Organization Country Office, Poland, Al. Jerozolimskie 155, 02-326, Warsaw, Poland.

Pascal Zurn (P)

Health Workforce Department, World Health Organization, Avenue Appia 20, 1211, Geneva 27, Switzerland.

Stephanie Doris Short (SD)

Faculty of Medicine and Health, WHO Collaborating Centre for Strengthening Rehabilitation Capacity in Health Systems, The University of Sydney, Sydney, Australia.

James W Middleton (JW)

Faculty of Medicine and Health, John Walsh Centre for Rehabilitation Research, The University of Sydney, Sydney, Australia.

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Classifications MeSH