By Ivy Lynn Bourgeault and Linda Silas
Canada’s health workers have been here for all of us throughout the COVID-19 pandemic. It is time for us to be there for them.
That’s why over 200 associations, healthcare unions, networks, educators and researchers are calling on the federal government to play a stronger leadership role by making significant investments in the data infrastructure to better plan for and support the health workforce.
Sadly despite important investments in the care economy, the federal budget was silent with respect to addressing longstanding gaps in health workforce data.
Improved health system planning through better health workforce data can make a world of difference for health workers and the Canadian public. In a pandemic, it can make the difference between life and death.
The dire situation facing health workers across Canada in response to the third wave makes the response to our call critical. We need a better system than to call around provinces and other countries in a panic for health workers, when these workers are needed everywhere.
Most Canadians probably don’t realize that we lack data on the most basic components of our health workforce.
We lack data about the scope of work of healthcare workers, about the diversity of the workforce, such as Indigenous or racial identity and language of service. We don’t know how different health teams work together or how can they be recruited, trained and retained where they are most needed.
In some critical sectors, such as home care, long-term care and mental health care, we don’t even know how many workers there are.
The lack of such basic information on the health workforce predates the pandemic, jeopardizing the work they do and the care we all receive. Safe, high-quality care for patients is tied to safe, high-quality work for health workers.
Pre-pandemic, the health workforce was overstretched, and there was growing concern about accessing timely care close to home. The pandemic has caused critical staffing shortages – a direct result of inadequate planning. This has contributed to an enormous mental health burden on health workers for which we risk unprecedented attrition from the health workforce.
This will inevitably lead to reductions in access to safe, high-quality care and increased wait times for patients.
The federal government could create a dedicated health workforce agency akin to the Public Health Agency of Canada, with an explicit mandate to significantly enhance existing health workforce data infrastructure in Canada. These exist in many countries from England to Australia to New Zealand.
This agency should help coordinate and standardize the collection and analysis of workforce data across workers, sectors and jurisdictions, with links to relevant patient information, healthcare utilization and outcome data, to support more fit-for-purpose planning at the provincial, territorial, regional and training program levels.
Until we have more effective health workforce planning based on better health workforce data, we will continue to make decisions in the dark, with incomplete, misleading and non-standardized information. Canada can expect inadequate planning for population needs now and into the future, inefficient deployment of health workers, persistent maldistribution of services, and perpetuation of current inequities.
We can and should do better.
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About Ivy Lynn Bourgeault and Linda Silas
Dr. Ivy Lynn Bourgeault is the Lead of the Canadian Health Workforce Network and a University of Ottawa Chair in Gender, Diversity and the Professions in the School of Sociological and Anthropological Studies.
Linda Silas is a Registered Nurse and President of the Canadian Federation of Nurses Unions.
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A version of this post was previously published on QUOI Media and is republished here under a Creative Commons license.
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