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区域层面的综合初级保健劳动力规划工具包(第 2 部分):为加拿大多伦多的决策者编制的定量工具。

An integrated primary care workforce planning toolkit at the regional level (part 2): quantitative tools compiled for decision-makers in Toronto, Canada.

机构信息

University of Ottawa and Canadian Health Workforce Network, Ottawa, Canada.

出版信息

Hum Resour Health. 2021 Jul 21;19(1):86. doi: 10.1186/s12960-021-00595-y.

Abstract

BACKGROUND

Health workforce planning capability at a regional level is increasingly necessary to ensure that the healthcare needs of defined local populations can be met by the health workforce. In 2016, a regional health authority in Toronto, Canada, identified a need for more robust health workforce planning infrastructure and processes. The goal of this project was to develop an evidence-informed toolkit for integrated, multi-professional, needs-based primary care workforce planning for the region. This article presents the quantitative component of the workforce planning toolkit and describes the process followed to develop this tool.

METHODS

We conducted an environmental scan to identify datasets addressing population health need and profession-specific health workforce supply that could contribute to quantitative health workforce modelling. We assessed these sources of data for comprehensiveness, quality, and availability. We also developed a quantitative health workforce planning model to assess the alignment of regional service requirements with the service capacity of the workforce.

RESULTS

The quantitative model developed as part of the toolkit includes components relating to both population health need and health workforce supply. Different modules were developed to capture the information and address local issues impacting delivery and planning of primary care health services in Toronto.

CONCLUSIONS

A quantitative health workforce planning model is a necessary component of any health workforce planning toolkit. In combination with qualitative tools, it supports integrated, multi-professional, needs-based primary care workforce planning. This type of planning presents an opportunity to address inequities in access and outcome for regional populations.

摘要

背景

在区域层面上,卫生人力规划能力越来越有必要,以确保特定地区的医疗保健需求能够由卫生人力来满足。2016 年,加拿大多伦多的一个区域卫生当局确定需要更强大的卫生人力规划基础设施和流程。该项目的目标是为该地区制定一个基于证据的综合、多专业、基于需求的初级保健劳动力规划工具包。本文介绍了劳动力规划工具包的定量部分,并描述了开发该工具的过程。

方法

我们进行了环境扫描,以确定可用于定量卫生人力建模的数据集,这些数据集涉及人口健康需求和特定专业的卫生人力供应。我们评估了这些数据源的全面性、质量和可用性。我们还开发了一个定量卫生人力规划模型,以评估区域服务需求与劳动力服务能力的一致性。

结果

作为工具包一部分开发的定量模型包括与人口健康需求和卫生人力供应相关的部分。开发了不同的模块来获取信息,并解决影响多伦多初级保健服务提供和规划的本地问题。

结论

定量卫生人力规划模型是任何卫生人力规划工具包的必要组成部分。与定性工具相结合,它支持综合、多专业、基于需求的初级保健劳动力规划。这种规划为解决区域人群获得和结果方面的不平等提供了机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60dc/8293525/985a0e069377/12960_2021_595_Fig1_HTML.jpg

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