The Australian Healthcare Workforce

  • Stephen Duckett

Abstract

Healthcare reform and industrial change impact directly on the health workforce in a number of ways. The structure of the workforce and the number of people employed can often be the subject of government action and policy change, and industrial issues are quintessentially about payment and employment arrangements for the health workforce. This chapter is a scene-setting chapter for the other chapters of this book, providing information about the size and composition of the health workforce, with particular attention to nursing, medical and allied health personnel, as well as identifying contemporary issues affecting those professions.

Keywords

Migration Income Haas Poss 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Antonazzo, E., Scott, A., Skatun, D. and Elliott, R. F. (2003) ‘The Labour Market for Nursing: A Review of the Labour Supply Literature’ Health Economics, 12, pp. 465–478.CrossRefGoogle Scholar
  2. Australian Institute of Health and Welfare (2000) Optometrist Labour Force 1999 (Canberra: AIHW, National Labour Force Series No. 18, Cat. No. HWL17).Google Scholar
  3. Australian Institute of Health and Welfare (2001a) Occupational Therapy Labour Force 1998 (Canberra: AIHW, HWL21).Google Scholar
  4. Australian Institute of Health and Welfare (2001b) Physiotherapy Labour Force 1998 (Canberra: AIHW, Cat. No. HWL22).Google Scholar
  5. Australian Institute of Health and Welfare (2002) Podiatry Labour Force 1999 (Canberra: AIHW, Cat. No. HWL23).Google Scholar
  6. Australian Institute of Health and Welfare (2003a) Nursing Labour Force to 2001 (Canberra: AIHW, National Health Labour Force Series No. 26, Cat. No. HWL 26).Google Scholar
  7. Australian Institute of Health and Welfare (2003b) Medical Labour Force 2000 (Canberra: AIHW, Bulletin No. 5).Google Scholar
  8. Australian Institute of Health and Welfare (2003c) Pharmacy Labour Force to 2001 (Canberra: AIHW, Cat. No. HWL25).Google Scholar
  9. Australian Medical Workforce Advisory Committee and Australian Institute of Health and Welfare (1998) Medical Workforce Supply and Demand in Australia: A Discussion Paper (Sydney: AIHW, AMWAC Report 1998.8, AIHW Cat. No. HWL12).Google Scholar
  10. Australian Medical Workforce Advisory Committee and Australian Institute of Health and Welfare (1996) Female Participation in the Australian Medical Workforce (North Sydney: AMWAC, Report 1996.7).Google Scholar
  11. Australian Medical Workforce Advisory Committee (1998) Influences on Participation in the Australian Medical Workforce (North Sydney: AMWAC, Report No. 1998.4).Google Scholar
  12. Bloor, K. and Maynard, A. (2003) Planning Human Resources in Health Care: Towards an Economic Approach. An International Comparative Review (Ottawa: Canadian Health Services Research Foundation).Google Scholar
  13. Boyce, R. A. (2001) ‘Organisational Governance Structures in Allied Health Services: A Decade of Change’ Australian Health Review, 24(1), pp. 22–36.CrossRefGoogle Scholar
  14. Brasure, M., Stearns, S. C., Norton, E. C. and Ricketts III, T. (1999) ‘Competitive Behavior in Local Physician Markets’, Medical Care Research and Review 56(4), pp. 395–414.CrossRefGoogle Scholar
  15. Brennan, D. S. and Spencer, A. J. (2002) ‘Practice Activity Trends among Australian Private General Dental Practitioners: 1983–84 to 1998–99’, International Dental Journal, 52(2), pp. 61–6.CrossRefGoogle Scholar
  16. Brooks, P. M. (2003) ‘The Impact Of Chronic Illness: Partnerships with other Healthcare Professionals’ Medical Journal of Australia, 179, pp. 260–2.Google Scholar
  17. Cherkin, D. C., Deyo, R. A., Battie, M., Street, J. and Barlow, W. (1998) ‘A Comparison of Physical Therapy, Chiropractic Manipulation, and Provision of an Educational Booklet for the Treatment of Patients with Low Back Pain’ New England Journal of Medicine, 339(15), pp. 1021–9.CrossRefGoogle Scholar
  18. Coile Jr, R. C. (2002) Futurescan 2002: A Forecast Of Healthcare Trends 2002–2006 (Chicago: Health Administration Press, American College of Healthcare Executives).Google Scholar
  19. Commonwealth Department of Human Services and Health (1994) Nursing Education in Australian Universities: Report of the National Review Of Nurse Education in the Higher Education Sector — 1994 and Beyond (Canberra: Australian Government Publishing Services).Google Scholar
  20. Dent, O. F. and Goulston, K. J. (1999) ‘Trends in the Specialist Workforce in Internal Medicine in Australia, 1981–1995’ Medical Journal of Australia, January, 170(4), pp. 32–5.Google Scholar
  21. Dowling, S., Barrett, S. and West, R. (1995) ‘With Nurse Practitioners, Who Needs House Officers?’ British Medical Journal, 311, pp. 309–13.CrossRefGoogle Scholar
  22. Duckett, S. J. (2003) ‘Making A Difference in Health Care’ in S. Ryan and T. Bramston (eds) The Hawke Government: A Critical Perspective (North Melbourne: Pluto Press).Google Scholar
  23. Duckett, S. J. (2004) ‘Turning Right at the Crossroads: The Nelson Report’s Proposals to Transform Australia’s Universities’ Higher Education, 47, pp. 211–40.CrossRefGoogle Scholar
  24. Ferguson, K. (1998) ‘The Nexus of Health Reform and Health Professional Practice: Narratives of Health Professionals in Times of Change’, (La Trobe University: EdD thesis).Google Scholar
  25. Haas, M. (1993) ‘Evaluation Of Physiotherapy using Cost-Utility Analysis’, Australian Physiotherapy, 39(3), pp. 211–16.CrossRefGoogle Scholar
  26. Hazelton, M. (1990) ‘Medical Discourse on Contemporary Nurse Education: An Ideological Analysis’ Australian and New Zealand Journal of Sociology, 26(1), pp. 107–25.CrossRefGoogle Scholar
  27. Humphreys, J. S., Mathews-Cowey, S. and Weinand, H. C. (1997) ‘Factors in Accessibility of General Practice in Rural Australia’ Medical Journal of Australia, 166, pp. 577–80.Google Scholar
  28. Johnson, T. (1997) The 1996 Course Experience Questionnaire (Melbourne: Graduate Careers Council of Australia).Google Scholar
  29. Kanagarajah, S., Page, J. H. and Heller, R. F. (1996) ‘Changes in Job Aspirations During Physician Training in Australia’ Australian and New Zealand Journal of Medicine, 26(5), pp. 652–57.CrossRefGoogle Scholar
  30. Kidd, M. and Braun, F. (1992) Problems Encountered by Overseas-Trained Doctors Migrating to Australia (Canberra: Australian Government Publishing Services).Google Scholar
  31. Kunz, E. F. (1975) The Intruder: Refugee Doctors in Australia (Canberra: Australian National University Press).Google Scholar
  32. Laven, G. A., Beilby, J. J., Wilkinson, D. and McElroy, H. J. (2003) ‘Factors Associated with Rural Practice among Australian-Trained General Practitioners’ Medical Journal of Australia, July, 179(21), pp. 75–9.Google Scholar
  33. Liang, M. H., Cullen, K. E., Larson, M. G., Schwartz, J. A., Robb-Nicholson, C., Fossel, A. H., Roberge, N. and Poss, R. (1987) ‘Effects of Reducing Physical Therapy Services on Outcomes in Total Joint Arthroplasty’ Medical Care, 25(4), pp. 276–85.CrossRefGoogle Scholar
  34. Mason, C., Adamson, L., Cotton, R., Reid, M., Lapsley, H., Barrett, E. and Rotem, A. (1993) General Practitioners in Hospitals (Sydney: School of Medical Education, University of New South Wales).Google Scholar
  35. NHS Modernization Agency (2003) Changing Workforce Programme Pilot Sites Progress Report — Spring 2003. Available at: http://www.portal.modern.nhs.uk/sites/workforce/usingstaffskillseffectively/CWP%20Publications/1/Pilot%20Sites%20Progress%20Report.pdfGoogle Scholar
  36. National Review of Nursing Education (2002) Our Duty of Care: Final Report of National Review of Nursing Education (Canberra: Ausinfo).Google Scholar
  37. Offredy, M. (2000) ‘Advanced Nursing Practice: The Case of Nurse Practitioners in Three Australian States’ Journal of Advanced Nursing, 31(20), pp. 274–81.CrossRefGoogle Scholar
  38. Reinhardt, U. E. (1975) Physician Productivity and the Demand for Health Manpower (Cambridge: Ballinger Publishing Company).Google Scholar
  39. Reinhardt, U. E. and Smith, K. R. (1974) ‘Manpower Substitution in Ambulatory Care’ in J. Rafferty (ed.) Health Manpower and Productivity (Lexington: D. C. Heath & Company).Google Scholar
  40. Richardson, G. and Maynard, A. (1995) Fewer Doctors? More Nurses? A Review of the Knowledge Base of Doctor-Nurse Substitution (York: The University of York).Google Scholar
  41. Richardson, J., Macarounas, K., Milthorpe, F., Ryan, J. and Smith, N. (1991) An Evaluation of the Effect of Increasing Doctor Numbers in their Geographic Distribution (Melbourne: NHMRC National Centre for Health Program Evaluation, Technical Report No. 2).Google Scholar
  42. Sakr, M., Angus, J., Perrin, J., Nixon, C., Nicholl, J. and Wardrope, J. (1999) ‘Care of Minor Injuries by Emergency Nurse Practitioners or Junior Doctors: A Randomized Control Trial’ The Lancet, 354(9187), pp. 1321–6.CrossRefGoogle Scholar
  43. Senate Community Affairs References Committee (2002) The Patient Profession: Time For Action. Report on the Inquiry into Nursing (Canberra: Senate Printing Unit).Google Scholar
  44. Sergison, M., Sibbald, B. and Rose, S. (1999) Skill Mix in Primary Care: A Bibliography (Manchester: National Primary Care Research and Development Centre, University of Manchester).Google Scholar
  45. Sloan, F. A. (1974) ‘Effects of Incentives on Physician Performance’ in J. Rafferty (ed.) Health Manpower and Productivity (Lexington: D. C. Heath & Company).Google Scholar
  46. Sochalski, J. (2002) ‘Nursing Shortage Redux: Turning The Corner on an Enduring Problem [Comment]’ Health Affairs, 21(5), pp. 157–64.CrossRefGoogle Scholar
  47. Tallis, G. and Balla, J. I. (1995) ‘Critical Path Analysis for the Management of Fractured Neck or Femur’ Australian Journal of Public Health, 19(2), pp. 155–9.CrossRefGoogle Scholar
  48. van Konkelenberg, R. V., and McAlindon, A. (1993) Hospital Non-Specialist Medical Workforce Survey 1993 [report] (Canberra).Google Scholar
  49. Walker, A. and Maynard, A. (2003) ‘Managing Medical Workforces: From Relative Stability to Disequilibrium in the UK NHS’, Applied Health Economics and Health Policy, 2(1), pp. 25–36.Google Scholar
  50. Wang, A., Hall, S., Gilbey, H. and Ackland, T. (1997) ‘Patient Variability and The Design of Clinical Pathways after Primary Total Hip Replacement Surgery’ Journal of Quality Clinical Practice, 17, pp. 123–9.Google Scholar
  51. Zurn, P., Dal Poz, M. R., Stilwell, B. and Adams, O. (2004) ‘Imbalance in the Health Workforce’ Human Resources for Health, 2(13), Available at: http://www.human-resources-health.com/content/2/1/13Google Scholar

Copyright information

© Contributors 2005

Authors and Affiliations

  • Stephen Duckett

There are no affiliations available

Personalised recommendations