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Improving Healthcare through the Skills Mix of the Workforce Cover

Improving Healthcare through the Skills Mix of the Workforce

Slovenian Journal of Public Health
Volume 64 (2025): Issue 3 (September 2025)
By: Brigita Skela-Savič,  Mircha Poldrugovac and  Borut Jug  
Open Access
|Sep 2025

References

  1. Buchan J, Dal Poz MR. Skill mix in the health care workforce: reviewing the evidence. Bull World Health Organ. 2002;80(7):575–580.
    Search in Google ScholarBack to article
  2. Buchan J, Calman L. Skill-mix and policy change in the health workforce: Nurses in advanced roles. OECD Health Working Papers, No. 17. Paris: OECD; 2005.
    Search in Google ScholarBack to article
  3. Maier CB, Winkelmann J, Pfirter L, Williams GA. Skill-mix changes targeting health promotion and prevention interventions and effects on outcomes in all settings (except hospitals): Overview of reviews. Int J Public Health. 2023;68:1605448. doi: 10.3389/ijph.2023.1605448.
    Open DOISearch in Google ScholarBack to article
  4. Sibbald B, Shen J, McBride A. Changing the skill-mix of the health care workforce. J Health Serv Res Policy. 2004;9 Suppl 1:28–38. doi: 10.1258/135581904322724112.
    Open DOISearch in Google ScholarBack to article
  5. Laurant M, van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, van Vught AJAH. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev. 2018;7(7):CD001271. doi: 10.1002/14651858.CD001271.pub3.
    Open DOISearch in Google ScholarBack to article
  6. Meier C. Skill-mix innovation, effectiveness and implementation: Improving primary and chronic care. WHO Regional Office for Europe; The European Observatory on Health Systems and Policies. New York: Cambridge University Press; 2022.
    Search in Google ScholarBack to article
  7. Orkin AM, Rao S, Venugopal J, Kithulegoda N, Wegier P, Ritchie SD, et al. Conceptual framework for task shifting and task sharing: an international Delphi study. Hum Resour Health. 2021;19(1):61. doi: 10.1186/s12960-021-00605-z.
    Open DOISearch in Google ScholarBack to article
  8. Carter MA, Haji Assa AS. The problem of comparing nurse practitioner practice with medical practice. Nurs Inq. 2023;30:e12551. doi: 10.1111/nin.12551.
    Open DOISearch in Google ScholarBack to article
  9. Maier CB, Köppen J, Busse R, et al. Task shifting between physicians and nurses in acute care hospitals: cross-sectional study in nine countries. Hum Resour Health. 2018;16:24. doi: 10.1186/s12960-018-0285-9.
    Open DOISearch in Google ScholarBack to article
  10. Paier-Abuzahra M, Posch N, Jeitler K, Semlitsch T, Radl-Karimi C, Spary-Kainz U, et al. Effects of task-shifting from primary care physicians to nurses: An overview of systematic reviews. Hum Resour Health. 2024 Nov 11;22(1):74. doi: 10.1186/s12960-024-00956-3.
    Open DOISearch in Google ScholarBack to article
  11. International Council of Nurses (ICN). Guidelines on advanced nursing practice. Geneva: ICN; 2020.
    Search in Google ScholarBack to article
  12. Wit RF, de Veer AJE, de Groot K, Batenburg RS, Francke AL. Task shifting in Dutch nursing practice: A repeated cross-sectional analysis of nurses’ experiences. J Adv Nurs. 2024;80(11):4593–4602. doi: 10.1111/jan.16173.
    Open DOISearch in Google ScholarBack to article
  13. Maier CB, Barnes H, Aiken LH, Busse R. Descriptive, cross-country analysis of the nurse practitioner workforce in six countries: Size, growth, physician substitution potential. BMJ Open. 2016;6:e011901. doi: 10.1136/bmjopen-2016-011901.
    Open DOISearch in Google ScholarBack to article
  14. Horton M, Turi J, Balusu E, Paikoff C, Maier CB, Poghosyan L. Advanced practice nurses in primary care and their impact on health service utilisation, costs and access globally: A scoping review. J Clin Nurs. 2025;34(5):1592–1601. doi: 10.1111/jocn.17614.
    Open DOISearch in Google ScholarBack to article
  15. Bulto LN, Roseleur J, Noonan S, et al. Effectiveness of nurse-led interventions versus usual care to manage hypertension: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2024;23(1):21–32. doi: 10.1093/eurjcn/zvad040.
    Open DOISearch in Google ScholarBack to article
  16. Yu X, Xu J, Lei M. Does a nurse-led interventional program improve clinical outcomes in patients with atrial fibrillation? A meta-analysis. BMC Cardiovasc Disord. 2024;24(1):39. doi: 10.1186/s12872-024-03707-3.
    Open DOISearch in Google ScholarBack to article
  17. Wu X, Li Z, Tian Q, Ji S, Zhang C. Effectiveness of nurse-led heart failure clinic: A systematic review. Int J Nurs Sci. 2024;11(3):315–329. doi: 10.1016/j.ijnss.2024.04.001.
    Open DOISearch in Google ScholarBack to article
  18. Greer N, Bolduc J, Geurkink E, Rector T, Olson K, Koeller E, et al. Pharmacist-led chronic disease management: A systematic review of Effectiveness and Harms Compared With Usual Care. Ann Intern Med. 2016;165(1):30–40. doi: 10.7326/M15-3058.
    Open DOISearch in Google ScholarBack to article
  19. De Oliveira GS Jr, Castro-Alves LJ, Kendall MC, McCarthy R. Effectiveness of pharmacist intervention after transitions of care: A meta-analysis. J Patient Saf. 2021;17(5):375–380. doi: 10.1097/PTS.0000000000000283.
    Open DOISearch in Google ScholarBack to article
  20. Le LM, Veettil SK, Donaldson D, Kategeaw W, Hutubessy R, Lambach P, et al. The impact of pharmacist involvement on immunization uptake: A meta-analysis. J Am Pharm Assoc. 2022;62(5):1499–1513.e16. doi: 10.1016/j.japh.2022.06.008.
    Open DOISearch in Google ScholarBack to article
  21. Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open. 2019;9(9):e028280. doi: 10.1136/bmjopen-2018-028280.
    Open DOISearch in Google ScholarBack to article
  22. Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: a systematic review and meta-analysis. Kaohsiung J Med Sci. 2018;34(3):160–165. doi: 10.1016/j.kjms.2017.12.009.
    Open DOISearch in Google ScholarBack to article
  23. Klemenc Ketiš Z, Zafošnik U. Interprofessional education with simulations in primary care. Zdr Varst. 2024;63(1):1–4. doi: 10.2478/sjph-2024-0001.
    Open DOISearch in Google ScholarBack to article
  24. Skela Savič B, Albreht T, Sermeus W, Lobe B, Bahun M, Dello S. Patient outcomes and hospital nurses’ workload: A cross-sectional observational study in Slovenian hospitals using the RN4CAST survey. Zdr Varst. 2023;62(2):59–66. doi: 10.2478/sjph-2023-0009.
    Open DOISearch in Google ScholarBack to article
DOI: https://doi.org/10.2478/sjph-2025-00016 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
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Language: English
Page range: 129 - 132
Submitted on: Apr 24, 2025
Accepted on: May 26, 2025
Published on: Sep 1, 2025
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
Healthcare,
Workforce,
Multi-professional collaboration,
Skill-mixing,
Interprofessional education,
Labour shortages
Related subjects:
Medicine,
Clinical medicine,
Hygiene and environmental medicine

© 2025 Brigita Skela-Savič, Mircha Poldrugovac, Borut Jug, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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