Table 2Policy options to make mobility work better

Policy options to foster health workforce sustainability
ObjectivesMeasures
Better health workforce intelligence and planningMeasures include investing in health workforce intelligence (incl. on stock, composition, flows, regional distribution, vacancies, motivations), in demographic scenario modelling, and in mobility data; coordinating planning with training institutions and provider organizations.
Training and adapting today’s workforceMeasures include continuous professional development; re-skilling; redefining skills in line with population needs; life-long learning.
Training tomorrow’s workforceMeasures include attracting (young) people to healthcare; steering students to shortage professions; investing in educational capacity; allocating senior staff time to teaching; adapting curricula to demography and disease profiles; lifting or re-evaluating educational quotas.
Domestic recruitmentInclude entry stage measures to attract new graduates/recruits to domestic jobs by creating opportunities for employment, professional development and career progression, as well as measures to encourage return to practice with financial incentives, retraining courses, and mentoring.
Better regional distribution within the countryMeasures include promoting networks and extended team work; setting up contact points; guaranteed employment; housing and social benefits; regional investment.
RetentionMeasures include creating supportive and safe workplaces; flexible working hours; professional autonomy; expansion of roles; remuneration; grants in exchange for working in the system after specialization; career progression.
Policy options to manage mobility
Ethical recruitment practicesIntroduction and implementation of guidelines and codes at national or international levels, such as the Code, to encourage especially employers to recruit and employ ethically.
Country-to-country collaborationMeasures include bilateral agreements between destination and source countries with mechanisms to share training costs, promote circular mobility, provide additional training prior to return, define the type and number of health professionals to be trained for international recruitment and/or encourage professionals to settle down in particular locations.
Integration of foreign-trained/born professionalsMeasures in destination countries include induction and language courses; mentoring; practical help to settle down in host system; legal frameworks to facilitate recognition and authorization to practise processes; preventing discrimination.
Facilitated returnsMeasures in or by source countries to encourage returns and to allow returning health professionals to use skills acquired abroad and reintegrate the workforce, e.g. by offering concrete employment opportunities.
EU action to address the consequences and opportunities of free mobility
Better mobility dataInvesting in mobility “R&D” including updated flow data; mapping exercises of national policies to address mobility; data on migrant itineraries and motivations; evaluation of instruments, e.g. bilateral agreements and codes of practice including the Code and their implementation at national and organizational levels; mobility impact assessments.
Joint planning and workforce developmentMeasures include investing in European health workforce intelligence and regional forecasting models; introducing EU-wide CPD programmes; coordinating training capacity and health workforce production.
Protecting vulnerable health systemsMeasures include an EU compensation fund to compensate for training costs in source countries; EU structural and cohesion funding and technical support to strengthen vulnerable health systems in source countries.
Protecting/promoting mobilityMeasures include monitoring adherence to freedom of movement and anti-discrimination; EU-funded scholarships targeting specific disciplines/regions; mechanisms for knowledge and skill transfers between Member States.

Source: Authors’ compilation, adapted from Buchan, 2007; Wiskow, Albreht & de Pietro, 2010; Wismar et al., 2011; Delamaire, 2014; Mercay, Dumont & Lafortune, 2015; Plotnikova, 2014; European Commission, 2015.

From: Policy brief

Cover of How can countries address the efficiency and equity implications of health professional mobility in Europe?
How can countries address the efficiency and equity implications of health professional mobility in Europe? Adapting policies in the context of the WHO Code of Practice and EU freedom of movement [Internet].
Policy Brief, No. 18.
Glinos IA, Wismar M, Buchan J, et al.
© World Health Organization 2015 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)

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