Gilles Dussault Politiques et gestion des ressources humaines en santé Gilles Dussault Note: I am attaching slides on the conceptual framework for the.

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Transcription de la présentation:

Gilles Dussault Politiques et gestion des ressources humaines en santé Gilles Dussault Note: I am attaching slides on the conceptual framework for the analysis of workforce performance. These are in French and Pam will be able to read them. If you wish, I will translate them in the coming days. The logic of the framework is that the performance of the workforce is a critical determinant of the performance of delivery systems. Everyone agrees with that, but what is meant by "performance" is not always clear. By defining better the dimensions of performance and the factors which influence them, it gives planners clearer directions as to what information they should collect and how they should use it. If this is an avenue deemed interesting, I will be happy to develop these ideas.

Gilles Dussault Performance du SSS Performance Équité Efficacité Efficience Satisfaction Protection financière Processus Ressources Politiques Environnement

Gilles Dussault Performance du SSS Équité: dans quelle mesure les services sont accessibles en fonction des besoins et de la capacité de payer? Efficacité: … produisent les résultats attendus? Efficience: … l’utilisation des ressources est optimale? Satisfaction : répondent aussi aux besoins non-médicaux? Protection financière : … l’usager est protégé contre les coûts catastrophiques?

Gilles Dussault RHS et Performance du SSS Performance du SSS Performance des RHS Autres facteurs

Gilles Dussault RHS et Performance du SSS Performance SSS Performance RHS Couverture Productivité Qualité technique Qualité de services

Gilles Dussault Performance des RHS Couverture –Géographique –Niveau de soins –Besoins Productivité: utilisation des ressources Qualité technique: résultats cliniques Qualité de services: aspects organisationnels

Gilles Dussault Déterminants de la performance des RHS Performance RHS Processus Ressources

Gilles Dussault Déterminants Individuels Organisationnels Sectoriels Environnementaux Déterminants de la performance des RHS Performance des RHS

Gilles Dussault Individuels Age, sexe, statut civil, origine géographique, ethnique, linguistique, religion; Education, formation Compétences Valeurs, représentations, préférences, intérêts Organisationnels Structure/culture Capacité, style, pratiques de gestion Processus de prise des décision Conditions de travail Charge de travail Disponibilité des autres intrants Ètat des infrastructure, équipements Déterminants de la performance des RHS

Gilles Dussault Déterminants de la performance des RHS Sectoriels Politiques de santé Politiques de RHS Regulation Valeurs, objectifs Centralisation, bureaucratisation Groupes d’intérêt Environnementau x Politiques, priorités, valeurs, représentations Situation économique Sécurité Qualité de la “gouvernance”