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招募卫生专业人员应对 COVID-19,巴西。

Recruiting health professionals to the COVID-19 response, Brazil.

机构信息

Bridge Laboratory, Federal University of Santa Catarina, Lauro Linhares Street, Florianópolis, 88040-370, Brazil.

Department of Health Work Management, Ministry of Health, Brasilia, Brazil.

出版信息

Bull World Health Organ. 2022 Aug 1;100(8):520-524. doi: 10.2471/BLT.22.288060. Epub 2022 Jun 13.

Abstract

PROBLEM

The coronavirus disease 2019 (COVID-19) pandemic posed a major workforce challenge to Brazil, which has a large land area and a shortage of health workers in regions distant from the big cities.

APPROACH

The Brazilian health ministry implemented a computerized solution to provide rapid support to states and municipalities to hire health professionals from large urban centres to work in underserved areas during the COVID-19 pandemic. We designed an online system for health professionals to register their willingness to work on the COVID-19 response; the system was launched to the public in April 2020.

LOCAL SETTING

Brazil is a large country with great heterogeneity in access to health care across its different regions. Before the initiative was launched, 5 156 020 health professionals were officially registered with professional councils. However, an estimated 3 200 000, more than 60% of them, were working in the two regions with the highest standard of living.

RELEVANT CHANGES

Up to February 2022, 1 007 138 health professionals had self-registered on the system, providing a sizeable database of professionals from a range of disciplines. Of these, 371 275 professionals were willing to work on the COVID-19 response in remote areas. By 1 February 2022, 157 755 professionals have been trained and deployed to these underserved areas.

LESSONS LEARNT

Partnership of the government with professional councils and the use of official communication channels were important strategies to improve registration and ensure the success of the scheme. We predict that the database will assist with future public health campaigns in Brazil.

摘要

问题

2019 年冠状病毒病(COVID-19)大流行给巴西带来了重大的劳动力挑战,巴西地域辽阔,远离大城市的地区卫生工作者短缺。

方法

巴西卫生部实施了一项计算机化解决方案,以便在 COVID-19 大流行期间为各州和市提供快速支持,从大城市招聘卫生专业人员到服务不足的地区工作。我们设计了一个在线系统,供卫生专业人员注册他们愿意在 COVID-19 应对工作的意愿;该系统于 2020 年 4 月向公众推出。

当地背景

巴西是一个大国,其不同地区的医疗保健获取存在很大的异质性。在启动该倡议之前,已有 5156020 名卫生专业人员在专业委员会正式注册。然而,据估计有 320 万人,其中超过 60%的人在生活水平最高的两个地区工作。

相关变化

截至 2022 年 2 月,已有 1007138 名卫生专业人员在该系统上自行注册,提供了一个来自各种学科的专业人员的相当大的数据库。其中,371275 名专业人员愿意在远程地区参与 COVID-19 应对工作。截至 2022 年 2 月 1 日,已有 157755 名专业人员接受培训并部署到这些服务不足的地区。

经验教训

政府与专业委员会的合作以及使用官方沟通渠道是提高注册率并确保该计划成功的重要策略。我们预计该数据库将有助于巴西未来的公共卫生运动。

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