Health Policy

Download Analyzing markets for health workers : insights from labor by Barbara McPake, Anthony Scott, Ijeoma Edoka PDF

By Barbara McPake, Anthony Scott, Ijeoma Edoka

This booklet is a part of the Bank’s multiyear application to reinforce its wisdom of HRH regulations. The program’s final goal is to bolster wisdom and means to assemble proof, examine, and overview the effectiveness of HRH interventions within the context of a country’s health and wellbeing approach strengthening approach. It in particular addresses the theoretical and empirical proof on wellbeing and fitness hard work markets in low- and middle-income international locations.
Health exertions industry research has a lot to give a contribution to resolving globally common HRH difficulties, and their carrying on with overlook offers a few reason behind their patience. coverage makers in nations promulgating or refining concepts for attaining common wellbeing and fitness insurance will locate it vital to appreciate how key parts of their future health hard work industry tend to engage and the way those interactions may perhaps help―or hinder―progress towards common health and wellbeing assurance. those interactions are complicated and multidimensional, and this ebook highlights a few components the place forces within the overall healthiness hard work marketplace subject most.

The function of this ebook is to supply an outline of the major concerns whilst trying to practice economics to the research of medical experts’ hard work markets. notwithstanding a lot has been written and deliberate approximately wellbeing and fitness human assets, a huge weak spot with so much of this research is that it doesn't use an monetary standpoint. using an particular fiscal framework utilized by means of knowledgeable economists strikes the point of interest clear of simplistic yet high priced coverage responses comparable to education extra medical professionals and nurses, towards knowing extra conscientiously the function of incentives, productiveness, and the distribution of medical experts. The wellbeing and fitness group is yet one a part of the future health method and attention of research on merely the future health crew is inadequate which will ensure the optimum variety of medical examiners. marketplace forces can't be relied upon to resolve medical examiner shortages or mal-distribution, because of good famous industry mess ups in future health care. This additionally has implications for the way hard work economics and exertions marketplace research might be utilized and used effectively within the health and wellbeing care quarter.

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1596/978-1-4648-0224-9 29 30 Policy Interventions and the Health Workforce: Economic Issues and Evidence high incomes working less, as they prefer to take more leisure time when earnings increase. Examining how changes in wages influence hours worked and labor force participation is a central concern of labor economics (Blundell and Macurdy 1999). Structural labor supply models assume that workers, in determining the number of hours they work, are motivated by their income and leisure. In labor economics, these issues are driven by policy changes in taxation and welfare benefits that influence wage rates and then labor supply.

Models also involve dynamic and intertemporal labor supply decisions, where individuals attempt to make decisions about hours worked over their lifetime. There is also the possibility of a “backward-bending” labor supply and a negative labor supply elasticity by which an increase in wages causes a fall, rather than an increase, in hours worked. This happens because wage changes affect income and the rate of substitution between leisure and income. Under normal ­conditions, the substitution effect dominates the income effect, such that a wage rise leads to the marginal utility from the additional income from working an extra hour being greater than the utility from an extra hour of leisure—an increase in wages therefore leads to an increase in hours worked.

In Nigeria, Onwujekwe et al. (2010) find that 65% of the expenditure for malaria treatment reported by consumers was not reported by providers. Of particular interest in this paper is that such differences were not confined to public facilities, suggesting that health workers in the private sector may also charge sums beyond those reported to employing institutions, and that the return to employment in private facilities may not be wholly captured by the official salary there too. This finding needs to be interpreted with some caution, however, as the study assumes that all differences between expenditures reported by ­consumers and providers are informal charges, whereas other explanations, such as a tendency to overstate expenditure by consumers, might apply.

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