Alameddine Mohamad, Yassoub Rami, Mourad Yara, Khodr Hiba
1 Mohammed Bin Rashid University of Medicine and Health Sciences, College of Medicine, Dubai, United Arab Emirates.
2 American University of Beirut, Faculty of Health Sciences, Beirut, Lebanon.
Inquiry. 2017 Jan 1;54:46958017724943. doi: 10.1177/0046958017724943.
This study explores the recruitment and retention conditions influencing primary health care (PHC) human resources for health (HRH) in Qatar and suggests strategies for their improvement. A qualitative design employing semistructured key informant interviews with PHC stakeholders in Qatar was utilized. Key interviewees were originally recognized, and snowball sampling was used to identify additional interviewees until reaching saturation point. Interview scripts were transcribed and then analyzed thematically using the Nvivo software package. Thematic analysis precipitated a number of themes. Under recruitment, the centrality of enhancing collaboration with academic institutions, enhancing extrinsic benefits, and strengthening human resources recruitment and management practices. Dedicated support needs to be provided to expatriate HRH especially in regard to housing services, children schooling, and streamlining administrative processes for relocation. Findings revealed that job security, continuous professional development, objective performance appraisal systems, enhanced job transparency, and remuneration are key retention concerns. The study provides a number of recommendations for the proper recruitment and retention of HRH. Health planners and decision makers must take these recommendations into consideration to ensure the presence of a competent and sustainable HRH in the PHC sector in the future.
本研究探讨了影响卡塔尔初级卫生保健(PHC)卫生人力资源(HRH)招聘和留用的条件,并提出了改进策略。采用了定性研究设计,对卡塔尔初级卫生保健利益相关者进行了半结构化关键信息访谈。最初确定了关键受访者,并采用滚雪球抽样法确定了更多受访者,直至达到饱和点。访谈记录被转录,然后使用Nvivo软件包进行主题分析。主题分析得出了一些主题。在招聘方面,加强与学术机构的合作、增加外在福利以及加强人力资源招聘和管理实践至关重要。需要为外籍卫生人力资源提供专门支持,特别是在住房服务、子女教育以及简化搬迁行政程序方面。研究结果表明,工作保障、持续专业发展、客观的绩效考核体系、提高工作透明度以及薪酬是留用方面的关键问题。该研究为卫生人力资源的合理招聘和留用提供了多项建议。卫生规划者和决策者必须考虑这些建议,以确保未来初级卫生保健部门拥有一支有能力且可持续的卫生人力资源队伍。