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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.

DOI:10.1093/heapol/czt091
PMID:24324005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4287189/
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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本文引用的文献

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Building the field of health policy and systems research: framing the questions.构建卫生政策和体系研究领域:确定研究问题。
PLoS Med. 2011 Aug;8(8):e1001073. doi: 10.1371/journal.pmed.1001073. Epub 2011 Aug 16.
2
Attracting and retaining health workers in rural areas: investigating nurses' views on rural posts and policy interventions.吸引和留住农村地区的卫生工作者:调查护士对农村岗位和政策干预的看法。
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。
Hum Resour Health. 2010 Jun 30;8:15. doi: 10.1186/1478-4491-8-15.
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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Improving maternal survival in South Asia--what can we learn from case studies?提高南亚地区孕产妇生存率——我们能从案例研究中学到什么?
J Health Popul Nutr. 2009 Apr;27(2):93-107. doi: 10.3329/jhpn.v27i2.3324.
6
Markets, information asymmetry and health care: towards new social contracts.市场、信息不对称与医疗保健:迈向新的社会契约
Soc Sci Med. 2008 May;66(10):2076-87. doi: 10.1016/j.socscimed.2008.01.034. Epub 2008 Mar 7.
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Review of corruption in the health sector: theory, methods and interventions.卫生部门腐败问题综述:理论、方法与干预措施
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Support to the Safe Motherhood Programme in Nepal: an integrated approach.对尼泊尔安全孕产项目的支持:一种综合方法。
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For public service or money: understanding geographical imbalances in the health workforce.为了公共服务还是金钱:理解卫生人力的地理失衡问题
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"Villagers": differential treatment in a Ghanaian hospital.“村民”:加纳一家医院的差别待遇
Soc Sci Med. 2004 Nov;59(10):2003-12. doi: 10.1016/j.socscimed.2004.03.005.