MUNROS

"Health Care Reform: the iMpact on practice, oUtcomes and costs of New roles for health pROfeSsionals"

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 Obiettivo del progetto (Objective)

'The proposed research responds to the call for research into the ‘Quality, Efficiency and Solidarity of Health Systems’. European countries are reforming their health systems to improve health care delivery. One of the ways they are doing this is by changing skill mix within teams delivering health services: extending the roles of existing health professions and introducing new ones. This project will undertake a systematic evaluation of the impact of these ‘new professional roles’ on practice, outcomes and costs in a range of different health care settings within European Union and Associate Countries. It will detail the nature, scope and contribution of the new professional roles, evaluate their impact on clinical practice and outcomes, and identify their scope to improve the integration of care. It will conduct economic evaluation to identify the cost effectiveness of the new professional roles, identify optimal models for delivery of health care and the consequences of these for management of human resources and workforce planning. Study design is cross-sectional and multi-level. A mixed methods approach will combine analysis of routinely collected data and primary data generated through interviews and questionnaires to health professionals, managers and patients. Data analysis will employ multi-level modelling techniques.'

Introduzione (Teaser)

Labour is the largest item of health expenditures and is central to the effectiveness and quality of care delivered.

Descrizione progetto (Article)

Health services throughout the EU are faced with pressures to reduce costs. The research project 'Health care reform: The impact on practice, outcomes and costs of new roles for health professionals' (http://www.abdn.ac.uk/munros/ (MUNROS)) is identifying workforce configurations that deliver the most clinically and cost effective health care.

The size and composition of health workforce is linked to the performance of health care systems. The quality of care that patients receive and their satisfaction with that care is determined both by the quality of the workforce (skills, experience and motivation) and the integration of the systems within which they work.

Innovations in the delivery of care and the development of health workforce skills are being undertaken in some degree in all EC countries. New health professions and redesigned roles for established professions are being created. MUNROS is mapping the skills and competences of health professionals working in these new roles. Evaluations of these new roles for their clinical and cost effectiveness are underway. The researchers are using workforce planning models based on optimal models of integrated health care delivery.

The research is identifying the different models of care that are in current use and the best amongst these to serve as benchmarks. Reporting the role that the new professionals play in these models and establishing a framework for mapping the skills and competences of the health workforce is being undertaken.

This research project is improving health service delivery by addressing skill mix and management of human resources while looking at the integration of care across organisations. The study looks at the issues of organisation, management, cost and clinical effectiveness. It is producing evidence of the positive impact of new professional roles in health care on practice, outcomes and costs in a range of different health care settings.