Global health and innovation: A panoramic view on health human resources in the COVID-19 pandemic context.

While policy-makers in many jurisdictions are paying increasing attention to health workforce issues, human resources remain at best only partially aligned with population health needs. This paper explores the governance of human resources during the pandemic, looking at the Quebec health system as a revelatory case. We identify three issues related to health human resource (HHR) policies: working conditions, recognition at work and scope of practice. We empirically probe these issues based on an analysis of popular media, policy reports and participant observation by the lead authors in various forums and research projects. Using an integrated model of HHR, we identify major vulnerabilities in this domain. Persistent labour shortages, endemic deficiencies in working environments and inequity across occupational categories limit the ability to address critical HHR issues. We propose three ways to eliminate HHR vulnerabilities: reorganize work through participatory initiatives, implement joint policy making to rebalance power across the health workforce, and invest in the development of capacities at all system levels.

Réformes de l'immigration au Québec en 2019 et 2020: La logique politique à l'épreuve de l'analyse statistique.

This research note examines the economic performance of economic immigrants selected under the Quebec Experience Program (PEQ). Launched in 2010 and currently being challenged by the Government of Quebec, this immigration program offers an accelerated path to obtaining a Quebec Selection Certificate. Drawing on data from The Longitudinal Immigration Database (IMDB), this analysis focuses on PEQ immigrants' employment rates and employment income compared to the Quebec population aged 25 and 44, other economic immigrants admitted to Quebec, and candidates for the Canadian experience program admitted in another province. The results show that the first cohorts of this program performed very well on the Quebec job market, a performance that compares favorably with that of the other groups studied. The results indicate that the economic arguments put forward by the Québec Government to justify the reform of the PEQ do not withstand the statistical examination of employment outcomes; other factors should justify this reform.

Cette note de recherche examine la performance économique des immigrants économiques sélectionnés dans le cadre du programme de l'expérience québécoise (PEQ). Lancé en 2010 et actuellement remis en question par la Gouvernement du Québec, ce programme offre une voie accélérée vers l'obtention d'un Certificat de sélection du Québec (CSQ). S'appuyant sur les données de la Banque de données administratives longitudinales (BDIM), cette analyse s'intéresse plus spécifiquement à l'évolution de leur taux d'emploi et de leur revenu d'emploi en regard de la population québécoise âgée de 25 à 44 ans, d'autres immigrants économiques admis au Québec et des candidats au programme de l'expérience canadienne admis dans une autre province. Les résultats révèlent que les premières cohortes performent très bien sur le marché de l'emploi québécois, une performance qui se compare avantageusement à celle des autres groupes étudiés. Il en résulte que l'argumentaire économique avancé pour justifier la réforme du PEQ ne puisse résister à l'épreuve des faits et que, dans ce contexte, elle relève plutôt d'une autre logique.