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Implementation of Multi-Professional, Needs-Based Health Workforce Planning in Nova Scotia: Progress and Challenges.
Adrian MacKenzie1,2,3,4
1Nova Scotia Department of Health and Wellness, Halifax, Nova Scotia, Canada.
Healthcare Management Forum
|October 28, 2025
Summary
Nova Scotia is implementing population needs-based health workforce planning to transform its health system. Key enablers include data and collaboration, but challenges remain in service planning and outcome measurement.
Area of Science:
- Health Services Research
- Health Workforce Planning
- Population Health Management
Background:
- Health system transformation requires effective health workforce planning.
- Population needs-based planning aligns workforce supply with community health demands.
- Nova Scotia is undertaking initiatives to implement this planning approach.
Purpose of the Study:
- To report on the implementation of multi-professional, population needs-based health workforce planning in Nova Scotia.
- To identify successes and challenges encountered during this implementation process.
Main Methods:
- Qualitative review of implementation efforts across different health sectors.
- Identification of key enablers and challenges through ongoing project monitoring.
Main Results:
- Implementation is most advanced in COVID-19 response and continuing care sectors.
- Primary care and mental health and addictions sectors have similar efforts underway.
- Key enablers identified: robust workforce supply data and strong health system partner collaboration.
- Major challenges include lack of provincial clinical service planning, standardized service levels, and systematic data collection for workload and outcomes.
Conclusions:
- Population needs-based health workforce planning is progressing in Nova Scotia, supported by data and collaboration.
- Significant challenges persist, particularly the need for provincial service planning and outcome-based data collection.
- Addressing these challenges is crucial for successful health system transformation and improved health service delivery.
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