Tackling Workforce Constraints
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World Bank, Washington, DC
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Wealthy countries are aging rapidly,
driving higher usage of health services. Most members
countries in the Organisation for Economic Co-operation and
Development (OECD) have expanded medical education to
proactively address growing demand, rapidly expanding their
health workforce over the last two decades. Nonetheless,
their health systems are struggling to direct newly trained
physicians and nurses to frontline specialties in general
practice, family medicine, and geriatrics where they are
needed most. Exacerbating the challenge, demographic change
is happening in a context where lower pay and perceived lack
of prestige deter entry into primary care specialties,
creating chronic physician shortages on the frontline. To
respond to demographic transformation and longstanding
primary care deficits, mature health systems will need to
incentivize entry into frontline specialties and better
prioritize physicians' scarce time.
Palabras clave
HEALTH WORKERS, HEALTH SERVICE DELIVERY, DEMOGRAPHICS, PRIMARY HEALTH CARE, PHYSICIAN SPECIALTIES, MEDICAL EDUCATION