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支持照顾前战斗人员的医护人员:哥伦比亚与前战斗人员有联系的医护人员的激励措施。

Supporting healthcare workers caring for ex-combatants: incentives among Colombian providers with FARC ex-combatants.

机构信息

University of Michigan Medical School, Ann Arbor, MI, USA.

Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.

出版信息

Glob Public Health. 2022 Nov;17(11):3005-3021. doi: 10.1080/17441692.2022.2037150. Epub 2022 Feb 8.

Abstract

With the Peace Agreement between (FARC), Colombia promised healthcare to 13,000 'reincorporating' FARC ex-combatants. Shortages of healthcare workers in reincorporation camps means this promise is in danger of going unfulfilled. More information is needed to determine incentives, disincentives, and recruitment of healthcare providers to address this shortage. Semi-structured interviews were conducted with healthcare providers across FARC reincorporation camps, and a multidisciplinary team conducted analysis in NVivo12 using a team-based coding method. Twenty-four healthcare professionals from 15 camps participated, of which 75% were female. Incentives to work with FARC included improved clinical skills, professional advancement, increased comfort with FARC, and contributing to the peace process. Disincentives included poor living conditions, lack of support, biases, familial commitments, and sacrificing career opportunities. Three-fourths of the sample recommended working with FARC, and 92% reported a shortage of healthcare workers. Recruitment strategies included improved resources and specialised career development for healthcare workers, facilitating interactions between FARC and healthcare professionals outside clinical scenarios, and integrating medicine for vulnerable populations into health education. This study shows the impact that working with FARC ex-combatants can have on healthcare providers and tangible suggestions for increasing provider participation to address the healthcare worker shortage.

摘要

哥伦比亚与哥伦比亚革命武装力量(FARC)签署和平协议,承诺为 13000 名“重新融入社会”的哥伦比亚革命武装力量前战斗人员提供医疗服务。由于再融入营地的医疗工作者短缺,这一承诺有可能无法兑现。需要更多信息来确定激励措施、抑制因素以及招募医疗服务提供者来解决这一短缺问题。我们在哥伦比亚革命武装力量的各个再融入营地对医疗服务提供者进行了半结构化访谈,并在 NVivo12 中使用基于团队的编码方法由多学科团队进行分析。来自 15 个营地的 24 名医疗专业人员参加了访谈,其中 75%为女性。与哥伦比亚革命武装力量合作的激励因素包括提高临床技能、职业发展、增加对哥伦比亚革命武装力量的舒适感以及为和平进程做出贡献。抑制因素包括生活条件差、缺乏支持、偏见、家庭承诺和牺牲职业机会。四分之三的受访者建议与哥伦比亚革命武装力量合作,92%的受访者报告医疗工作者短缺。招聘策略包括改善医疗工作者的资源和专业发展,促进哥伦比亚革命武装力量与医疗专业人员在临床场景之外的互动,并将弱势群体的医疗纳入健康教育。这项研究表明了与哥伦比亚革命武装力量前战斗人员合作对医疗服务提供者的影响,并提出了切实可行的建议,以增加提供者的参与度,解决医疗工作者短缺的问题。

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