卫生人力需求:系统文献回顾。

The health workforce demand: a systematic literature review.

机构信息

Departamento de Ciências Sociais, Políticas e do Território, Unidade de Investigação em Governança, Competitividade e Políticas Públicas (GOVCOPP), Universidade de Aveiro. Campus Universitário de Santiago. 3810-193 Aveiro. Portugal.

Departamento de Economia, Gestão, Engenharia Industrial e Turismo, Unidade de Investigação em Governança, Competitividade e Políticas Públicas (GOVCOPP), Universidade de Aveiro. Abeiro Portugal.

出版信息

Cien Saude Colet. 2021 Jun 14;26(suppl 1):2431-2448. doi: 10.1590/1413-81232021266.1.40842020. eCollection 2021.

Abstract

Understanding imbalances between the supply and demand of the human resour- ces for health (HRH) is essential for enhancing health outcomes. Addressing the HRH demand is particularly challenging, especially given the deficit of accurate data and surplus of unresolved methodological flaws. This study presents a systematic review of the literature surrounding HRH demand and answers the following key questions: How has HRH demand been addressed? What are the harms and barriers that accompany HRH demand modeling? This systematic review was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) statement. Relevant keywords were used in a thorough search of the PubMed/MEDLINE, SCOPUS, and Web of Science databases. A total of 2,599 papers were retrieved and evaluated according to their title and abstract. Of these, the full-text of 400 papers was analyzed, 53 of which successfully met the inclusion criteria in our study. While the topic's relevance is widespread, it still lacks a validated approach to model HRH demand adequately. The main characteristics of the applied methods are presented, such as their application complexity by health policymakers. Opportunities and orientations for further research are also highlighted.

摘要

了解卫生人力资源(HRH)供需之间的不平衡对于提高健康结果至关重要。解决人力资源需求特别具有挑战性,特别是考虑到准确数据的缺乏和未解决的方法学缺陷的过剩。本研究对围绕人力资源需求的文献进行了系统回顾,并回答了以下关键问题:如何解决人力资源需求?人力资源需求建模伴随哪些危害和障碍?本系统评价按照 PRISMA(系统评价和荟萃分析的首选报告项目)声明进行。在 PubMed/MEDLINE、SCOPUS 和 Web of Science 数据库中使用相关关键词进行了全面搜索。共检索到 2599 篇论文,并根据其标题和摘要进行了评估。其中,400 篇论文的全文进行了分析,其中 53 篇成功符合我们研究的纳入标准。尽管该主题的相关性很广泛,但仍然缺乏一种经过验证的方法来充分模拟人力资源需求。还介绍了所应用方法的主要特征,例如它们对卫生政策制定者的应用复杂性。还强调了进一步研究的机会和方向。

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