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The chances are that you are already aware that Western societies face challenges in providing a reliable and qualified healthcare workforce. But did you know that the shortages of health workers and uniqe urban-rural distributions combine for a stunning comparison: the healthcare shortage affect Western countries like America, Germany, France and the UK nearly as much as it does Uganda or India? (1)

Knowing this places how we in the West rely on technology and expertise to optimise our healthcare systems in an entirely new perspective. And it raises the question, what new technologies should we adopt next so we can continue to take incredible clinical outcomes and timely, appropriate healthcare interventions for granted as the shortage worsens?

At PARiM Workforce Software, we believe our staff management software can play a role. We may not be at the top of your agenda right now, but workforce software will become an ever more critical part of work.

After all, even with advances in robotics, the fantastic results we expect from our caregivers require the presence of the right healthcare workers at the right time at the right place.

Currently open to partnerships
Meet PARiM Workforce Software

In this hyper-connected world, you need workforce software like PARiM to deal with healthcare worker shortages, in training, distribution, deployment and scheduling. We are currently open to long-term partners to develop closely integrated solutions to your problems.You can book a free demo with one of our experts at

Not interested in jumping into a call straight away? You can start by doing a more fun quiz: compare your current scheduling software to some of the features that we offer.

The bottomline is that not having the right staff in place at the right time (number, qualifications and other factors) creates difficult situations for you which increase mistakes or oversights. You will face lower quality of care and more malpractice litigation, and a vicious cycle of stress, unnecessary costs and errors ensue.

An unseen challenge: the healthcare shortage will worsen due to Africa and Asia becoming attractive places to work for your talent

Global trends underline the need to prepare yourself for more effective staff management with smart software. The harsh truth is that healthcare staffing trends tend to follow the general direction of the global economy.

With the Asia-Pacific region already becoming an established economic power on the world stage – it is already attracting top healthcare talent. Furthermore, in the coming years, select urban centres in Africa and India will begin to offer attractive compensation and working conditions further draining your talent pool.

Consider the demand for healthcare talent in the developing world that the global marketplace will unleash as soon as working incentives becoming even remotely comparable between the West and the developing world:

Fast facts on the Global Health Workforce Demand

  • 48 million women give birth each year without the presence of a skilled health worker
  • 90% of maternal deaths and 80% of stillbirths happen in just 58 countries, with only 17% of the midwives and physicians
  • Trained midwives can help prevent 66% of all maternal deaths & 50% of newborn deaths
  • Over half the deaths of children under five (3.6 million deaths) could be avoided if community health workers spread to optimum coverage
  • 6.9 million children under five die from treatable & preventable diseases every year
  • As little as $300 can train a frontline health worker in crucial lifesaving skills
  • In Western countries, 40% of nurses will retire in the next decade – young health workers have few incentives to stay and work long hours with relatively low pay – despite the astronomical amount of dollars spent on healthcare.

Strategic challenges facing Western Countries

There's more than just dark clouds on the horizon. Your entire strategic chess board in front of you has changed. And it keeps changing. In fact, you are playing on many chess boards at once. The global health worker shortage affects Western countries due to a varied set of existing and worsening factors that all need different solutions:

  • Ageing populations and a changing epidemiological profile which increases the burden on the health care systems, especially concerning non-communicable diseases and long-term care.
  • Accessibility of modern state-of-the-art facilities and equipment driving the demand for elective procedures

The obesity epidemic is fuelling not only non-communicable diseases with catastrophic complications but also the strain on joints and orthopaedic surgeries on younger people, not to mention the concomitant emotional and psychological problems.

The ageing population increases the scale of healthcare needs but also makes it much harder to replace those ageing out of the healthcare workforce.

Due to these factors, many western countries have to 'import' workers from developing countries, because of shortages, which leaves developing countries with dire shortages.

Don't believe us? Here are some even colder and harder facts about the shortage

United Kingdom

  • the ratio of nurses to physicians is below the OECD average
  • the density of physicians also varies across regions
  • Current financial constraints are creating further workforce challenges.
  • Heavily reliant on professionals trained overseas to meet service demands for many years.

The United States

  • 3.9 nurses-to-physicians ratio
  • 24.2 per 10 000 population density of physicians
  • The significant variation between and within the 50 states and a federal district.
  • programmes to attract health workers to underserved areas
  • high shortages for general practitioners and nurses
  • recruitment abroad expected to stay high


  • a nurses-to-physician ratio close to the OECD average
  • Substantial geographical disparities in health personnel distribution across regions.
  • physician-to-population rate to decline over the next 20 years, due to retirement
  • principal government reform instruments include:
    • increased quotas (numerus clausus) for entrance to medical schools,
    • enhanced multidisciplinary cooperation between physicians and paramedics at a local level through skills mix and task shifting
    • financial incentives for setting up practices in medically deprived areas
    • Public Service Involvement Contracts incentivising medical students to set up training in underserved areas.

You may have a fundamental strategic fit with PARiM

To provide health worker coverage, you need an intelligent and responsive partner that gives you the tools and the coaching to succeed as Western healthcare providers start to run out of road and competing harder and harder for talent, optimising staff incentives and maangement. At PARiM we are one such option, helping you fulffil WHO recommendations and best practices.

The WHO has stated that health services are only as effective as the persons responsible for delivering them; thus, we need to look at the fundamental principles for providing health worker coverage:

  • Availability – a sustainable group of health care workers with the required...
    • qualifications,
    • skills and
    • experience for the health care needs of the enterprise (agency, hospital, county, country);
  • Accessibility – the equitable access to health workers, including in terms of
    • travel time and transport,
    • opening hours and
    • corresponding workforce attendance,
    • whether the infrastructure is disability-friendly,
    • appropriate referral mechanisms and
    • the direct and indirect cost of services, both formal and informal;
  • Acceptability – the characteristics and ability of a well-trained workforce
    • to treat everyone with dignity,
    • create trust and
    • enable or promote demand for services; and stand out for excellence
  • Quality – the knowledge, skills, competencies, and behaviour of the health worker as
    • assessed according to professional norms and
    • as perceived by users.

(1) That's according to the WHO: Global Health Workforce Alliance in their Key Messages: Global Health Workforce Crisis.

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