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印度的卫生人力资源:需超越数量层面

Human Resources for Health in India: Need to go Beyond Numbers.

作者信息

Swain Sumant, Preetha G S, Kumar Satish, Aggarwal Divya, Kumar Rajesh, Kumar Sanjiv

机构信息

International Institute of Health Management Research, New Delhi, India.

Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian J Community Med. 2020 Jul-Sep;45(3):266-269. doi: 10.4103/ijcm.IJCM_247_19. Epub 2020 Sep 1.

Abstract

India's commitment to achieve the goal of Universal Health Coverage is evidenced by the launch of Ayushman Bharat and the transformation of Sub-Centres into Health and Wellness Centre to provide secondary and comprehensive primary healthcare to the vast majority of its population. Successful implementation of these initiatives requires adequate and skilled human resources for health and a conducive work environment. There exists a deficiency of doctors and paramedical professionals in different parts of the country. The vacancies in different categories of health functionaries have increased after 2005 despite the National Rural Health Mission/National Health Mission initiatives to strengthen the health system. The distribution of doctors and paraprofessionals in health is skewed, favoring urban areas. Properly oriented, trained, and skilled health workforce and informed public participation are critical to provide quality services for achieving national health goals. Therefore, it is necessary to establish public health cadre in all states of India and ensure appropriately skilled workforce to meet the functional requirements of health-care delivery system at different levels. This will also help to move forward on the way to reach the Sustainable Development Goals.

摘要

印度致力于实现全民健康覆盖的目标,这体现在阿育吠陀健康保险计划(Ayushman Bharat)的推出以及将基层医疗中心转变为健康与 wellness 中心,以便为绝大多数人口提供二级和全面的初级医疗保健服务。这些举措的成功实施需要充足且具备技能的卫生人力资源以及有利的工作环境。该国不同地区存在医生和辅助医疗专业人员短缺的情况。尽管国家农村卫生使命/国家卫生使命采取了加强卫生系统的举措,但2005年之后不同类别的卫生工作人员空缺有所增加。卫生领域医生和辅助专业人员的分布不均衡,偏向城市地区。经过适当定向、培训且具备技能的卫生人力以及明智的公众参与对于提供优质服务以实现国家卫生目标至关重要。因此,有必要在印度所有邦建立公共卫生干部队伍,并确保有具备适当技能的劳动力来满足不同层面医疗保健服务体系的功能需求。这也将有助于在实现可持续发展目标的道路上取得进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c312/7745802/3bac34fa468d/IJCM-45-266-g001.jpg

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