揭开卫生部门人员调配与调动行为的公开秘密。
Unmasking the open secret of posting and transfer practices in the health sector.
作者信息
Schaaf Marta, Freedman Lynn P
机构信息
Averting Maternal Death and Disability, Columbia University Mailman School of Public Health, New York, NY 10032, USA
Averting Maternal Death and Disability, Columbia University Mailman School of Public Health, New York, NY 10032, USA.
出版信息
Health Policy Plan. 2015 Feb;30(1):121-30. doi: 10.1093/heapol/czt091. Epub 2013 Dec 9.
Abstract
This article focuses on processes of granting posts and transfers to health care workers and administrators that can be described as 'mission inconsistent (MI)', meaning that they are not conducted in a way that maximizes health outcomes or that respects the norms of health care worker professionalism. We synthesize relevant literature from several different disciplinary perspectives to describe what is known about the problem of MI posting and transfer in the health sector, to critically engage and interrogate these literatures, and to briefly discuss efforts that have been made to maximize mission consistency. The article concludes by suggesting principles for future research that would foster a more complete understanding of posting and transfer practices.
摘要
本文聚焦于医护人员和管理人员的岗位授予与调动过程，这些过程可被描述为“使命不一致（MI）”，即其实施方式并非以最大化健康成果或尊重医护人员职业规范为导向。我们从多个不同学科视角综合相关文献，以描述卫生部门中MI岗位安排与调动问题的已知情况，批判性地审视和探究这些文献，并简要讨论为实现使命一致性所做的努力。文章最后提出了未来研究的原则，以促进对岗位安排和调动实践有更全面的理解。
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2
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BMC Health Serv Res. 2010 Jul 2;10 Suppl 1(Suppl 1):S1. doi: 10.1186/1472-6963-10-S1-S1.
3
Meeting human resources for health staffing goals by 2018: a quantitative analysis of policy options in Zambia.到 2018 年实现卫生人力资源目标：赞比亚人力资源政策选择的定量分析。
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4
A review of the application and contribution of discrete choice experiments to inform human resources policy interventions.离散选择实验在人力资源政策干预中的应用和贡献综述。
Hum Resour Health. 2009 Jul 24;7:62. doi: 10.1186/1478-4491-7-62.
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6
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