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Current and impending shortages and imbalances in the supply of health care providers have been well documented both within Canada and internationally.

As health care delivery in Canada has undergone changes in structure and organization, many jurisdictions have reassessed their methods of deployment of health human resources () with a view to exploring different and innovative means of responding to these shortages and imbalances in number and mix of health care providers, in geographic maldistribution, and to developing new organizational models of delivery.

The focus of the review of decision support tools was based on specific types of health care providers and delivery settings.

The objective of the project was to assist Health Canada in achieving the broader goals of: The project scope specifically included a literature review of Canadian and selected international published and grey literature, as well as an environmental scan conducted through the use of focussed interviews with key informants.The literature review was framed and defined by specifications relating to geographic location, type of health care services delivered, delivery setting and occupational group, to identify and assess preferred practices of deployment.Web pages that are archived on the Web are not subject to the Government of Canada Web Standards.As per the Communications Policy of the Government of Canada, you can request alternate formats on the "Contact Us" page.The 2003 First Ministers' Accord on Health Care Renewal called for the Ministers of Health to develop "collaborative strategies to be undertaken to strengthen the evidence base for national planning, promote inter-disciplinary provider education, improve recruitment and retention, and ensure the supply of needed health providers." As a result, the Government of Canada has committed million annually to support national deployment, Health Canada's Health Human Resource Strategies Division contracted with North South Group Inc.

to undertake a Literature Review and Environmental Scan related to Preferred Deployment Practices and Decision Support Tools for Deployment of Health Human Resources.

What emerged from the review was not only a confirmation of a broad consensus on a number of underlying trends, but also a paucity of decision support tools, which are used to support deployment decisions.

The bulk of the literature reviewed focussed on the role of physicians and nurses, with other health care providers receiving secondary consideration.

Key strategies that emerged from the study and are detailed in this report, included the redefinition of the roles of health professionals; the optimization of working towards full scope of practice, and the promotion of interdisciplinary collaboration.

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It has not been altered or updated after the date of archiving.