Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China.
Hum Resour Health. 2021 Jan 2;19(1):1. doi: 10.1186/s12960-020-00545-0.
Health workforce governance has been proposed as key to improving health services delivery, yet few studies have examined the conceptualisation of health workforce governance in detail and exploration in literature remains limited.
A literature review using PubMed, Google Scholar and grey literature search was conducted to map out the current conceptualisation of health workforce governance. We identified all published literature relating to governance in health workforce since 2000 and analysed them on two fronts: the broad definition of governance, and the operationalisation of broad definition into key dimensions of governance.
Existing literature adopts governance concepts established in health literature and does not adapt understanding to the health workforce context. Definitions are largely quoted from health literature whilst dimensions are focused around the sub-functions of governance which emphasise operationalising governance practices over further conceptualisation. Two sub-functions are identified as essential to the governance process: stakeholder participation and strategic direction.
Although governance in health systems has gained increasing attention, governance in health workforce remains poorly conceptualised in literature. We propose an improved conceptualisation in the form of a stakeholder-driven network governance model with the national government as a strong steward against vested stakeholder interests. Further research is needed to explore and develop on the conceptual thinking behind health workforce governance.
卫生人力治理被认为是改善卫生服务提供的关键，但很少有研究详细探讨卫生人力治理的概念，文献中的探索仍然有限。
使用 PubMed、Google Scholar 和灰色文献搜索进行文献综述，以描绘卫生人力治理的当前概念化。我们确定了自 2000 年以来与卫生人力治理相关的所有已发表文献，并从两个方面对其进行了分析：治理的广义定义，以及将广义定义具体化为治理的关键维度。
现有文献采用了卫生文献中确立的治理概念，并没有根据卫生人力的背景进行调整。定义主要来自卫生文献，而维度则集中在治理的子功能上，这些子功能强调治理实践的运作，而不是进一步的概念化。两个子功能被确定为治理过程的必要条件：利益相关者的参与和战略方向。
尽管卫生系统中的治理已经引起了越来越多的关注，但文献中对卫生人力治理的概念化仍然很差。我们提出了一种改进的概念化，即利益相关者驱动的网络治理模式，其中国家政府作为强大的管理者，防止利益相关者的既得利益。需要进一步研究来探索和发展卫生人力治理背后的概念思维。
