Faculty of Nursing, Midwifery and Health, University of Technology Sydney (UTS), Sydney, Australia.
BMC Med Educ. 2012 Jul 9;12:51. doi: 10.1186/1472-6920-12-51.
In workforces that are traditionally mobile and have long lead times for new supply, such as health, effective global indicators of tertiary education are increasingly essential. Difficulties with transportability of qualifications and cross-accreditation are now recognised as key barriers to meeting the rapidly shifting international demands for health care providers. The plethora of mixed education and service arrangements poses challenges for employers and regulators, let alone patients; in determining equivalence of training and competency between individuals, institutions and geographical locations.
This paper outlines the shortfall of the current indicators in assisting the process of global certification and competency recognition in the health care workforce. Using Organisation for Economic Cooperation and Development (OECD) data we highlight how International standardisation in the tertiary education sector is problematic for the global health workforce. Through a series of case studies, we then describe a model which enables institutions to compare themselves internally and with others internationally using bespoke or prioritised parameters rather than standards.
The mobility of the global health workforce means that transportability of qualifications is an increasing area of concern. Valid qualifications based on workplace learning and assessment requires at least some variables to be benchmarked in order to judge performance.
在传统上流动性强、新供应周期长的劳动力队伍中,例如医疗保健行业,有效的高等教育三级指标越来越重要。现在人们认识到,资格的可转移性和交叉认证是满足医疗保健提供者快速变化的国际需求的主要障碍。大量混合教育和服务安排给雇主和监管机构带来了挑战,更不用说患者了;在确定个人、机构和地理位置之间的培训和能力等同性方面。
本文概述了当前指标在协助医疗保健劳动力全球认证和能力认可过程中的不足之处。我们使用经济合作与发展组织(OECD)的数据强调了在高等教育部门的国际标准化对全球卫生劳动力的问题。通过一系列案例研究,我们描述了一种模型,该模型使机构能够使用定制或优先参数而不是标准来在内部和国际上进行比较。
全球卫生劳动力的流动性意味着资格的可转移性是一个日益令人关注的领域。基于工作场所学习和评估的有效资格至少需要对一些变量进行基准测试,以判断绩效。