Chapter 5
Managing exits from the workforce
Each year, substantial numbers of health workers leave the health workforce, either temporarily or permanently. These exits can provoke shortages if workers who leave are not replaced, and such shortages compromise the delivery and quality of health services (1, 2). Chapter 3 discussed the routes new workers take into the workforce; this chapter examines the other end of the spectrum – the various ways in which workers depart active service. It also suggests ways of managing exits in times of worker shortage as well as in times of surplus, in order to optimize the performance of the health workforce. Finally, it reviews and analyses the factors that influence exits and proposes strategies for managing them.
In this chapter
- Ebbs and flows of migration
- Occupational risks to health workers
- Change of occupation or work status
- Retirement
- Conclusion
Figures
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Exit routes from the health workforce
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Health workers’ reasons to migrate in four African countries (Cameroon, South Africa, Uganda and Zimbabwe)
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Occupations at risk of violence, Sweden
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Ageing nurses in the United States of America
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Age distribution of doctors
pdf, 531kb
Tables
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Doctors and nurses trained abroad working in OECD countries
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Doctors trained in sub-Saharan Africa working in OECD countries
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Nurses and midwives trained in sub-Saharan Africa working in OECD countries
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Statutory pensionable age
pdf, 599kb
