Portela Gustavo Zoio, Fehn Amanda Cavada, Ungerer Regina Lucia Sarmento, Poz Mario Roberto Dal
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro. R. São Francisco Xavier 524/Bloco E/7º, Maracanã. 20550-013 Rio de Janeiro RJ Brasil.
Centro de Relações Internacionais em Saúde, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2017 Jul;22(7):2237-2246. doi: 10.1590/1413-81232017227.02702017.
From the 1990s onwards, national economies became connected and globalized. Changes in the demographic and epidemiological profile of the population highlighted the need for further discussions and strategies on Human Resources for Health (HRH). The health workforce crisis is a worldwide phenomenon. It includes: difficulties in attracting and retaining health professionals to work in rural and remote areas, poor distribution and high turnover of health staff particularly physicians, poor training of health workforces in new sanitation and demographic conditions and the production of scientific evidence to support HRH decision making, policy management, programs and interventions. In this scenario, technical cooperation activities may contribute to the development of the countries involved, strengthening relationships and expanding exchanges as well as contributing to the production, dissemination and use of technical scientific knowledge and evidence and the training of workers and institutional strengthening. This article aims to explore this context highlighting the participation of Brazil in the international cooperation arena on HRH and emphasizing the role of the World Health Organization in confronting this crisis that limits the ability of countries and their health systems to improve the health and lives of their populations.
从20世纪90年代起,各国经济开始相互联系并走向全球化。人口结构和流行病学特征的变化凸显了就卫生人力资源(HRH)展开进一步讨论并制定相关战略的必要性。卫生人力危机是一个全球性现象。它包括:在吸引和留住卫生专业人员到农村和偏远地区工作方面存在困难;卫生工作人员尤其是医生分布不均且流动率高;在新的卫生和人口状况下卫生人力培训不足;以及为支持卫生人力资源决策、政策管理、项目和干预措施而开展科学证据的生产。在这种情况下,技术合作活动可能有助于相关国家的发展,加强关系、扩大交流,也有助于技术科学知识与证据的生产、传播和使用,以及工作人员培训和机构强化。本文旨在探讨这一背景,突出巴西在卫生人力资源国际合作领域的参与情况,并强调世界卫生组织在应对这一危机中的作用,这场危机限制了各国及其卫生系统改善其民众健康和生活的能力。