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是否存在黄金法则?公共卫生人力发展的范围综述。

Is there a golden recipe? A scoping review of public health workforce development.

机构信息

Department of International Health, School CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

Department of Health Policy and Management, Faculty of Health Sciences, Medical College, Jagiellonian University, Krakow, Poland.

出版信息

Eur J Public Health. 2019 Jun 1;29(3):401-408. doi: 10.1093/eurpub/cky247.

DOI:10.1093/eurpub/cky247
PMID:30508074
Abstract

BACKGROUND

This study intended to design a suitable and comprehensive approach for a public health workforce development plan with the ultimate goal of meeting the health objectives in different European Region countries.

METHODS

We performed a scoping review, including an accurate and exhaustive country-specific hand-search process, mapping the key concepts and practices used in public health workforce development based on the available evidence worldwide.

RESULTS

We identified nine comparative measures, based on common features from a scoping literature review, for the assessment of public health workforce development plans available in selected countries. This list of nine comparative measures includes: (i) Alignment between the 10 Essential Public Health Operations (EPHOs) or core public health functions and organizational resources and public health priority areas; (ii) Regulations and Norms; (iii) Capacity Assessment; (iv) Datasets and Databases; (v) Workforce Development Strategies, Planning and Management; (vi) Education, Training, Core Competencies and Models; (vii) Licensing, Accreditation and Credentialing; (viii) Forecasting Strategies for Enumerating and Quotas and (ix) Ethical and Professional Codes of Conduct. These measures are essential to develop, sustain and modernize the public health workforce effectively.

CONCLUSION

We propose a well-balanced set of measures for countries aiming to improve or develop their public health workforce based on instruments that are successfully used and applied in a wide range of countries with different public health systems. However, the implementation should be tailored and adopted according to the specific country context and available recourses.

摘要

背景

本研究旨在设计一个适合且全面的公共卫生人力发展计划方法,最终目标是实现不同欧洲区域国家的卫生目标。

方法

我们进行了范围界定审查,包括对现有全球证据进行准确和详尽的国家特定手工搜索,以绘制公共卫生人力发展中使用的关键概念和实践方法图。

结果

我们根据范围文献综述中的共同特征确定了九项比较措施,用于评估选定国家的公共卫生人力发展计划。这九项比较措施包括:(i)与 10 项基本公共卫生业务(EPHOs)或核心公共卫生职能和组织资源以及公共卫生优先领域的一致性;(ii)法规和规范;(iii)能力评估;(iv)数据集和数据库;(v)人力发展战略、规划和管理;(vi)教育、培训、核心能力和模式;(vii)许可、认证和认证;(viii)人口普查和配额预测策略;(ix)道德和职业行为准则。这些措施对于有效发展、维持和现代化公共卫生人力至关重要。

结论

我们提出了一套平衡的措施,旨在帮助那些希望根据在不同公共卫生系统的广泛国家中成功使用和应用的工具来改善或发展其公共卫生人力的国家。然而,实施应根据具体国家情况和可用资源进行调整和采用。

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