One means of analysing job redesign in health care
and its impact, is through the concept of ‘skill-mix’.
Skill-mix is used variously to refer to the: mix of skills or
competencies possessed by an individual; ratio of senior
to junior grade staff within a single discipline; or mix of
different types of staff within a multidisciplinary team.
There are a number of different organisational processes
underpinning changes to these aspects of skill-mix.
Within a given service, skill-mix change may be
brought about through:
. enhancement – increasing the depth of a job by
extending the role or skills of a particular group of
workers,
. substitution – expanding the breadth of a job, in
particular by working across professional divides or
exchanging one type of worker for another,
. delegation – moving a task up or down a traditional
unidisciplinary ladder,
. innovation – creating new jobs by introducing a new
type of worker.
Changes in skill-mix may also be brought about by
changing the interface between services, including:
. transfer – moving the provision of a service from one
health care sector to another, e.g. substituting
community for hospital care,
One means of analysing job redesign in health care
and its impact, is through the concept of ‘skill-mix’.
Skill-mix is used variously to refer to the: mix of skills or
competencies possessed by an individual; ratio of senior
to junior grade staff within a single discipline; or mix of
different types of staff within a multidisciplinary team.
There are a number of different organisational processes
underpinning changes to these aspects of skill-mix.
Within a given service, skill-mix change may be
brought about through:
. enhancement – increasing the depth of a job by
extending the role or skills of a particular group of
workers,
. substitution – expanding the breadth of a job, in
particular by working across professional divides or
exchanging one type of worker for another,
. delegation – moving a task up or down a traditional
unidisciplinary ladder,
. innovation – creating new jobs by introducing a new
type of worker.
Changes in skill-mix may also be brought about by
changing the interface between services, including:
. transfer – moving the provision of a service from one
health care sector to another, e.g. substituting
community for hospital care,
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