Objective: To demonstrate the usefulness of theoretical framework in the analysis of complex policy issues related to primary health care (PHC) workforce for informed policy decisions and planning.
Approach: The study links complexity theories with political economy and connects them to theoretical work on structure and agency to guide the analysis of the PHC workforce issues and their related ramifications. This theoretical framework guides as well the literature review. With this approach, it is possible to ascertain and disturb the linear thinking which tends to surround questions or issues related to PHC human resources.
Conclusion: Workforce changes occur in a multifaceted structure of norms and values as well as within the policies, regulations and traditions, the ruling relations² between professions, and between employers and employees. Similarly, changes in the population characteristics and in the political economy not only affect the demand for care but also have implications for the type of staff that can be hired.
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