Department of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Health Workforce New Zealand, New Zealand Ministry of Health, Auckland, New Zealand.
Med Educ. 2018 Jan;52(1):103-113. doi: 10.1111/medu.13369. Epub 2017 Jul 19.
Matching the supply of health workers to need is necessary if a health system is to be sustainable, affordable and fit for purpose. On the 30th anniversary of the 1988 Edinburgh Declaration of the World Federation for Medical Education, levels of compliance with the 10th recommendation, 'Ensure admission policies that match the numbers of students trained with national needs for doctors', warrant review. There are two domains to such a review, concerning, respectively, how well these health needs are known, and whether workforce supply is well matched.
This is a literature review-based analysis of extant health system planning, which underpins current understanding of national health needs and of the consequent alignment of student selection processes.
The core finding is that national need for doctors, and any other health workers, is not confidently known for any jurisdiction. Consequently, validation of student selection processes is impossible against this endpoint and data to validate these processes against the alternative endpoint of a positive impact on health outcomes do not exist. Data do exist to suggest some student selection processes result in desirable career and career location uptakes.
如果一个卫生系统想要具有可持续性、可负担性并能满足特定目的，那么将卫生工作者的供应与需求相匹配是非常必要的。在 1988 年世界医学教育联合会爱丁堡宣言 30 周年之际，第 10 项建议“确保入学政策与国家对医生的培训人数相匹配”的遵守程度值得审查。这种审查有两个方面，分别涉及到这些卫生需求的了解程度以及劳动力供应是否得到很好的匹配。
这是对现有卫生系统规划的文献回顾分析，该分析是对当前国家卫生需求以及由此产生的学生选拔过程调整的理解的基础。
核心发现是，任何司法管辖区都无法自信地了解对医生和其他卫生工作者的国家需求。因此，针对这一终点，对学生选拔过程的验证是不可能的，而且针对这些过程对健康结果产生积极影响的替代终点进行验证的数据也不存在。有数据表明，一些学生选拔过程导致了理想的职业和职业地点的选择。
