title: Mind the gap: governance mechanisms and health workforce outcomes.
abstract: Attempts at health system reform have not been as successful as governments and health authorities had hoped. Working from the premise that health system governance and changes to the workforce are at the heart of health system performance, we conducted a systematic review examining how they are linked. Key messages from the report are that: (1) leadership, communication and engagement are crucial to workforce change; (2) workforce outcomes need to be considered in conjunction with patient outcomes; and (3) decision-makers and researchers need to work together to develop an evidence base to inform future reform planning.
authors.affiliation: Research and Evaluation Consultant, Alberta Health Services, Calgary, AB.
authors.forename: Stephanie E
authors.initials: SE
authors.lastname: Hastings
authors.affiliation: Research and Evaluation Consultant, Alberta Health Services, Calgary, AB.
authors.forename: Sara
authors.initials: S
authors.lastname: Mallinson
authors.affiliation: Research and Evaluation Consultant, Alberta Health Services, Calgary, AB.
authors.forename: Gail D
authors.initials: GD
authors.lastname: Armitage
authors.affiliation: Senior Research and Evaluation Consultant, Alberta Health Services, Calgary, AB.
authors.forename: Karen
authors.initials: K
authors.lastname: Jackson
authors.affiliation: Director, Workforce Research and Evaluation, Alberta Health Services, Calgary, AB.
authors.forename: Esther
authors.initials: E
authors.lastname: Suter
mesh_terms: D002170:Canada; D018166:Health Care Reform; D006280:Health Workforce / Q000458:organization & administration*; D006801:Humans; D007857:Leadership; D011787:Quality of Health Care