Faculty of Graduate Studies, Arab American University, Ramallah P.O. Box 240, Palestine.
London School of Hygiene and Tropical Medicine (LSHTM), London WC1H 9SH, UK.
Int J Environ Res Public Health. 2022 Jul 2;19(13):8131. doi: 10.3390/ijerph19138131.
The Health Workforce Accreditation and Regulation (HWAR) is a key function of the health system and is the subject of increasing global attention. This study provides an assessment of the factors affecting the Palestinian HWAR system, identifies existing gaps and offers actionable improvement solutions. Data were collected during October and November 2019 in twenty-two semi-structured in-depth interviews conducted with experts, academics, leaders, and policymakers purposely selected from government, academia, and non-governmental organizations. The overall perceptions towards HWAR were inconsistent. The absence of a consolidated HWAR system has led to a lack of communication between actors. Environmental factors also affect HWAR in Palestine. The study highlighted the consensus on addressing further development of HWAR and the subsequent advantages of this enhancement. The current HWAR practices were found to be based on personal initiatives rather than on a systematic evidence-based approach. The need to strengthen law enforcement was raised by numerous participants. Additional challenges were identified, including the lack of knowledge exchange and salary adjustments. HWAR in Palestine needs to be strengthened on the national, institutional, and individual levels through clear and standardized operating processes. All relevant stakeholders should work together through an integrated national accreditation and regulation system.
卫生人力认证和监管（HWAR）是卫生系统的一项关键职能，也是全球日益关注的主题。本研究评估了影响巴勒斯坦 HWAR 系统的因素，确定了现有差距，并提供了可行的改进解决方案。数据是在 2019 年 10 月和 11 月收集的，采用了 purposely 选择性的方法，在政府、学术界和非政府组织中分别对 22 名专家、学者、领导人和决策者进行了半结构化深入访谈。人们对 HWAR 的总体看法并不一致。缺乏统一的 HWAR 系统导致了各参与者之间缺乏沟通。环境因素也影响了巴勒斯坦的 HWAR。该研究强调了进一步发展 HWAR 的共识，以及这种增强的后续优势。目前的 HWAR 实践被发现是基于个人倡议，而不是基于系统的循证方法。许多参与者提出了加强执法的必要性。还确定了其他挑战，包括缺乏知识交流和工资调整。巴勒斯坦的 HWAR 需要通过明确和标准化的运营流程在国家、机构和个人层面上得到加强。所有相关利益攸关方都应通过一个综合的国家认证和监管系统共同努力。
