Health Workforce Information and Governance, Department of Human Resources for Health, World Health Organization, Geneva, Switzerland.
BMC Health Serv Res. 2011 Oct 17;11:276. doi: 10.1186/1472-6963-11-276.
Human resources for rehabilitation are often a neglected component of health services strengthening and health workforce development. This may be partly related to weaknesses in the available research and evidence to inform advocacy and programmatic strategies. The objective of this study was to quantitatively describe the global situation in terms of supply of and need for human resources for health-related rehabilitation services, as a basis for strategy development of the workforce in physical and rehabilitation medicine.
Data for assessing supply of and need for rehabilitative personnel were extracted and analyzed from statistical databases maintained by the World Health Organization and other national and international health information sources. Standardized classifications were used to enhance cross-national comparability of findings.
Large differences were found across countries and regions between assessed need for services requiring health workers associated to physical and rehabilitation medicine against estimated supply of health personnel skilled in rehabilitation services. Despite greater need, low- and middle-income countries tended to report less availability of skilled health personnel, although the strength of the supply-need relationship varied across geographical and economic country groupings.
The evidence base on human resources for health-related rehabilitation services remains fragmented, the result of limited availability and use of quality, comparable data and information within and across countries. This assessment offered the first global baseline, intended to catalyze further research that can be translated into evidence to support human resources for rehabilitation policy and practice.
康复人力资源常常是卫生服务加强和卫生人力发展中被忽视的组成部分。这可能部分归因于现有的研究和证据存在薄弱环节，无法为宣传和规划策略提供信息。本研究的目的是定量描述全球在卫生相关康复服务人力资源供应和需求方面的情况，为物理医学和康复医学领域的劳动力战略制定提供依据。
从世界卫生组织和其他国家及国际卫生信息来源维护的统计数据库中提取和分析评估康复人员供应和需求的数据。使用标准化分类方法提高研究结果的跨国可比性。
发现各国和各地区之间在需要服务的评估和对康复服务有技能的卫生人员的估计供应之间存在很大差异。尽管需求更大，但中低收入国家报告的熟练卫生人员供应情况往往较少，尽管供应需求关系的强度因地理和经济国家分组而有所不同。
卫生相关康复服务人力资源的证据基础仍然分散，这是由于各国内部和之间的质量、可比数据和信息的可用性和使用有限所致。本评估提供了首个全球基准，旨在促进进一步的研究，将其转化为支持康复人力资源政策和实践的证据。
