Tzountzouris John-Paul, Gilbert John H V
The Michener Institute for Applied Health Sciences.
Healthc Pap. 2009;9(2):6-19. doi: 10.12927/hcpap.2009.20774.
The healthcare system continues to evolve, requiring innovation to promote patient-centred, fiscally responsible healthcare delivery. This evolution includes changes to the skills and competencies required of the health human resources (HHR), both regulated and unregulated, who are central supports to healthcare delivery. This has become a priority agenda item at the international, national, provincial, regional and local levels. This paper describes the system factors that drive the emergence of HHR skill and competency needs, and explores the roles of various institutions in the identification of and response to HHR needs. Educational institutions play an important role in responding to emerging HHR needs. Their actual response to HHR skill and competency needs will ultimately depend on the risk posed to the organizations of either addressing, or not addressing, these needs. These decisions are complex and are balanced against strategic, operational and educational risks, benefits and realities within each given educational institution. Educational institutions - through their linkages with the workplace, industry, professional organizations and government - have a unique view and understanding of many facets of the complexity of HHR planning. This paper proposes that educational institutions play a pivotal role as levers in a more coordinated response to emerging HHR needs and, as such, should be intimately involved in comprehensive HHR planning.
医疗保健系统持续发展,需要创新来推动以患者为中心、财政上负责的医疗服务提供。这种发展包括对卫生人力资源(HHR)所需技能和能力的改变,这些人力资源无论是受监管的还是不受监管的,都是医疗服务提供的核心支撑。这已成为国际、国家、省级、地区和地方各级的优先议程项目。本文描述了推动卫生人力资源技能和能力需求出现的系统因素,并探讨了各机构在识别和应对卫生人力资源需求方面的作用。教育机构在应对新出现的卫生人力资源需求方面发挥着重要作用。它们对卫生人力资源技能和能力需求的实际应对最终将取决于满足或不满足这些需求给组织带来的风险。这些决策很复杂,要在每个特定教育机构的战略、运营和教育风险、收益及现实情况之间进行权衡。教育机构通过与工作场所、行业、专业组织和政府的联系,对卫生人力资源规划复杂性的许多方面有着独特的见解和理解。本文提出,教育机构作为对新出现的卫生人力资源需求做出更协调应对的杠杆,应发挥关键作用,因此应密切参与全面的卫生人力资源规划。