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新冠疫情余波:防范撒哈拉以南非洲地区不可挽回的医学人才流失。

Aftermath of COVID-19: Forestalling Irreparable Medical Brain Drain in Sub-Saharan Africa.

出版信息

J Health Care Poor Underserved. 2021;32(4):1742-1751. doi: 10.1353/hpu.2021.0163.

DOI:10.1353/hpu.2021.0163
PMID:34803040
Abstract

With the escalation of the novel coronavirus disease (COVID-19) across the globe, shortages in the already scarce medical workforce are imminent. Historically, more developed economies have looked abroad to augment their health systems. This paper aims to offer plausible solutions on how to avert future medical brain drain from sub-Saharan Africa (SSA) in the aftermath of COVID-19. We opine that emigration of medical workers from low-resource settings to more industrialized regions should be viewed by the destination countries as both a moral and an ethical issue. Countries in SSA must generally provide good leadership, diversify their economies, and ensure adequate security. Specifically, there are needs to improve health care workers' remuneration, provide more opportunities for specialization, and reduce waiting time for employment. It is our opinion that such multisectoral and multi-modal approaches will effectively halt and even reverse the on-going brain drain in the region, converting it to brain gain.

摘要

随着全球新型冠状病毒病 (COVID-19) 的升级,本已稀缺的医疗劳动力将出现短缺。历史上,更发达的经济体一直在向国外寻求援助,以充实其医疗体系。本文旨在提供合理的解决方案,以避免 COVID-19 后撒哈拉以南非洲 (SSA) 未来出现医学人才流失。我们认为,劳动力从资源匮乏的环境向工业化程度更高的地区迁移,目的地国家应该将其视为道德和伦理问题。SSA 国家通常需要提供良好的领导力、实现经济多样化,并确保充足的安全保障。具体而言,需要提高医疗工作者的薪酬,提供更多专业化机会,并减少就业等待时间。我们认为,这种多部门和多模式的方法将有效地阻止甚至扭转该地区正在发生的人才流失,将其转化为人才流入。

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