Ministry of Health, Sultanate of Oman, Muscat, Oman.
Hum Resour Health. 2009 Jun 11;7:47. doi: 10.1186/1478-4491-7-47.
Oman's recent experience in health workforce development may be viewed against the backdrop of the situation just three or four decades ago, when it had just a few physicians and nurses (mostly expatriate). All workforce categories in Oman have grown substantially over the last two decades. Increased self-reliance was achieved despite substantial growth in workforce stocks. Stocks of physicians and nurses grew significantly during 1985-2007. This development was the outcome of well-considered national policies and plans. This case outlines how Oman is continuing to turn around its excessive dependence on expatriate workforce through strategic workforce development planning.
The Sultanate's early development initiatives focused on building a strong health care infrastructure by importing workforce. However, the policy-makers stressed national workforce development for a sustainable future. Beginning with the formulation of a strategic health workforce development plan in 1991, the stage was set for adopting workforce planning as an essential strategy for sustainable health development and workforce self-reliance. Oman continued to develop its educational infrastructure, and began to produce as much workforce as possible, in order to meet health care demands and achieve workforce self-reliance. Other policy initiatives with a beneficial impact on Oman's workforce development scenario were: regionalization of nursing institutes, active collaboration with universities and overseas specialty boards, qualitative improvement of the education system, development of a strong continuing professional development system, efforts to improve workforce management, planned change management and needs-based micro/macro-level studies. Strong political will and bold policy initiatives, dedicated workforce planning and educational endeavours have all contributed to help Oman to develop its health workforce stocks and gain self-reliance.
Oman has successfully innovated workforce planning within a favorable policy environment. Its intensive and extensive workforce planning efforts, with the close involvement of policy-makers, educators and workforce managers, have ensured adequacy of suitable workforce in health institutions and its increased self-reliance in the health workforce.
Oman's experience in workforce planning and development presents an illustration of a country benefiting from successful application of workforce planning concepts and tools. Instead of being complacent about its achievements so far, every country needs to improve or sustain its planning efforts in this way, in order to circumvent the current workforce deficiencies and to further increase self-reliance and improve workforce efficiency and effectiveness.
阿曼最近在卫生人力发展方面的经验可以从三四十年前的情况来看,当时阿曼只有少数医生和护士(主要是外籍人士)。在过去的二十年中,阿曼所有劳动力类别都有了实质性的增长。尽管劳动力存量大幅增长,但实现了更高的自给自足。1985-2007 年期间,医生和护士的人数大幅增加。这一发展是深思熟虑的国家政策和计划的结果。本案例概述了阿曼如何通过战略性人力发展规划继续扭转对外籍劳动力的过度依赖。
阿曼的早期发展举措侧重于通过进口劳动力来建立强大的医疗保健基础设施。然而,决策者强调国家劳动力发展以实现可持续的未来。从 1991 年制定战略性卫生人力发展计划开始,为采用劳动力规划作为可持续卫生发展和劳动力自给自足的重要战略奠定了基础。阿曼继续发展其教育基础设施,并开始尽可能多地培养劳动力,以满足医疗保健需求并实现劳动力自给自足。对阿曼劳动力发展情况产生有益影响的其他政策举措包括:护理学院的区域化、与大学和海外专业委员会的积极合作、教育系统的质量提高、强大的持续专业发展系统的发展、努力改善劳动力管理、有计划的变革管理和基于需求的微观/宏观层面研究。强烈的政治意愿和大胆的政策举措、专注的劳动力规划和教育努力都有助于阿曼发展其卫生人力存量并实现自给自足。
阿曼在有利的政策环境中成功创新了劳动力规划。其密集广泛的劳动力规划工作,在政策制定者、教育工作者和劳动力管理者的密切参与下,确保了医疗机构有足够数量的合适劳动力,并在卫生劳动力方面提高了自给自足能力。
阿曼在劳动力规划和发展方面的经验展示了一个受益于成功应用劳动力规划概念和工具的国家的实例。每个国家都不应对其迄今取得的成就自满,而需要通过这种方式改进或维持其规划工作,以避免当前劳动力短缺,并进一步提高自给自足能力,提高劳动力效率和效果。