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第五章 健康转型时代的劳动力发展

Title V Workforce Development in the Era of Health Transformation.

作者信息

Margolis Lewis, Mullenix Amy, Apostolico Alexsandra A, Fehrenbach Lacy M, Cilenti Dorothy

机构信息

The National MCH Workforce Development Center, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7445, USA.

Department of Maternal and Child Health, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7445, USA.

出版信息

Matern Child Health J. 2017 Nov;21(11):2001-2007. doi: 10.1007/s10995-017-2335-7.

DOI:10.1007/s10995-017-2335-7
PMID:28780683
Abstract

Purpose The National Maternal and Child Health Workforce Development Center at UNC Chapel Hill (the Center), funded by the Maternal and Child Health Bureau, provides Title V state/jurisdiction leaders and staff and partners from other sectors with opportunities to develop skills in quality improvement, systems mapping and analysis, change management, and strategies to enhance access to care to leverage and implement health transformation opportunities to improve the health of women and children. Description Since 2013, the Center has utilized a variety of learning platforms to reach state and jurisdiction Title V leaders. In the intensive training program, new skills and knowledge are applied to a state-driven health transformation project and include distance-based learning opportunities, multi-day, in-person training and/or onsite consultation, as well as individualized coaching to develop workforce skills. Assessment The first intensive cohort of eight states reported enhanced skills in the core areas of quality improvement, systems mapping and analysis, change management, and strategies to enhance access to care which guided changes at state system and policy levels. In addition, teams reported new and/or enhanced partnerships with many sectors, thereby leveraging Title V resources to increase its impact. Conclusion The Center's provision of core workforce skills and application to state-defined goals has enabled states to undertake projects and challenges that not only have a positive impact on population health, but also encourage collaborative, productive partnerships that were once found to be challenging-creating a workforce capable of advancing the health and wellbeing of women and children.

摘要

目的 北卡罗来纳大学教堂山分校的国家妇幼卫生人力发展中心(该中心)由妇幼卫生局资助,为第五章规定的州/司法管辖区领导人、工作人员以及其他部门的合作伙伴提供机会,以培养质量改进、系统映射与分析、变革管理方面的技能,以及增强医疗服务可及性的策略,从而利用并实施健康转型机遇,改善妇女和儿童的健康状况。

描述 自2013年以来,该中心利用了多种学习平台来接触第五章规定的州和司法管辖区领导人。在强化培训项目中,新技能和知识被应用于一个由州推动的健康转型项目,包括远程学习机会、多日的面对面培训和/或现场咨询,以及培养劳动力技能的个性化辅导。

评估 首批八个州的强化培训学员报告称,在质量改进、系统映射与分析、变革管理以及增强医疗服务可及性的策略等核心领域技能有所提升,这些技能指导了州系统和政策层面的变革。此外,各团队报告称与许多部门建立了新的和/或加强了的伙伴关系,从而利用第五章规定的资源来扩大其影响。

结论 该中心提供核心劳动力技能并将其应用于州定义的目标,使各州能够开展不仅对人群健康有积极影响,而且鼓励曾经被认为具有挑战性的合作性、富有成效的伙伴关系的项目和挑战——打造一支能够促进妇女和儿童健康与福祉的劳动力队伍。

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