Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, OE 5410, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Karolinska Institutet, Medical Management Centre, LIME, Tomtebodavagen 18a, 171 77, Stockholm, Sweden.
Health Res Policy Syst. 2018 Jun 20;16(1):52. doi: 10.1186/s12961-018-0333-x.
The importance of a sustainable health workforce is increasingly recognised. However, the building of a future health workforce that is responsive to diverse population needs and demographic and economic change remains insufficiently understood. There is a compelling argument to be made for a comprehensive research agenda to address the questions. With a focus on Europe and taking a health systems approach, we introduce an agenda linked to the 'Health Workforce Research' section of the European Public Health Association. Six major objectives for health workforce policy were identified: (1) to develop frameworks that align health systems/governance and health workforce policy/planning, (2) to explore the effects of changing skill mixes and competencies across sectors and occupational groups, (3) to map how education and health workforce governance can be better integrated, (4) to analyse the impact of health workforce mobility on health systems, (5) to optimise the use of international/EU, national and regional health workforce data and monitoring and (6) to build capacity for policy implementation. This article highlights critical knowledge gaps that currently hamper the opportunities of effectively responding to these challenges and advising policy-makers in different health systems. Closing these knowledge gaps is therefore an important step towards future health workforce governance and policy implementation. There is an urgent need for building health workforce research as an independent, interdisciplinary and multi-professional field. This requires dedicated research funding, new academic education programmes, comparative methodology and knowledge transfer and leadership that can help countries to build a people-centred health workforce.
可持续卫生人力的重要性日益得到认可。然而，对于如何构建一个能够响应多样化人口需求以及人口和经济变化的未来卫生人力队伍，我们的理解还远远不够。有一个强有力的理由支持制定一个全面的研究议程来解决这些问题。本文以欧洲为重点，采用卫生系统方法，提出了一个与欧洲公共卫生协会“卫生人力研究”部分相关的议程。确定了卫生人力政策的六个主要目标：（1）制定框架，使卫生系统/治理与卫生人力政策/规划保持一致；（2）探索不同部门和职业群体之间技能组合和能力变化的影响；（3）规划如何更好地整合教育和卫生人力治理；（4）分析卫生人力流动对卫生系统的影响；（5）优化国际/欧盟、国家和地区卫生人力数据和监测的使用；（6）为政策实施建立能力。本文重点介绍了当前阻碍有效应对这些挑战并为不同卫生系统的决策者提供建议的关键知识差距。因此，缩小这些知识差距是未来卫生人力治理和政策实施的重要一步。有必要将卫生人力研究作为一个独立的、跨学科和多专业的领域来建设。这需要专门的研究资金、新的学术教育计划、比较方法以及知识转移和领导力，以帮助各国建立以人为本的卫生人力队伍。
