Accident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Hong Kong, China.
Collaborating Centre for Oxford University and Chinese University of Hong Kong for Disaster and Medical Humanitarian Response (CCOUC), School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Prehosp Disaster Med. 2022 Dec;37(6):735-748. doi: 10.1017/S1049023X22001467. Epub 2022 Nov 3.
Health workforce development is essential for achieving the goals of an effective health system, as well as establishing national Health Emergency and Disaster Risk Management (Health EDRM).
The objective of this Delphi consensus study was to identify strategic recommendations for strengthening the workforce for Health EDRM in low- and middle-income countries (LMIC) and high-income countries (HIC).
A total of 31 international experts were asked to rate the level of importance (one being strongly unimportant to seven being strongly important) for 46 statements that contain recommendations for strengthening the workforce for Health EDRM. The experts were divided into a LMIC group and an HIC group. There were three rounds of rating, and statements that did not reach consensus (SD ≥ 1.0) proceeded to the next round for further ranking.
In total, 44 statements from the LMIC group and 34 statements from the HIC group attained consensus and achieved high mean scores for importance (higher than five out of seven). The components of the World Health Organization (WHO) Health EDRM Framework with the highest number of recommendations were "Human Resources" (n = 15), "Planning and Coordination" (n = 7), and "Community Capacities for Health EDRM" (n = 6) in the LMIC group. "Policies, Strategies, and Legislation" (n = 7) and "Human Resources" (n = 7) were the components with the most recommendations for the HIC group.
The expert panel provided a comprehensive list of important and actionable strategic recommendations on workforce development for Health EDRM.
卫生人力发展对于实现有效卫生系统的目标以及建立国家卫生应急和灾害风险管理（Health EDRM）至关重要。
本德尔菲共识研究的目的是确定加强中低收入国家（LMIC）和高收入国家（HIC）卫生应急和灾害风险管理（Health EDRM）劳动力的战略建议。
共有 31 名国际专家被要求对包含加强卫生应急和灾害风险管理劳动力的建议的 46 个陈述进行重要性评分（1 分为非常不重要，7 分为非常重要）。专家分为 LMIC 组和 HIC 组。进行了三轮评分，未达成共识的陈述（SD≥1.0）进入下一轮进一步排名。
共有来自 LMIC 组的 44 条陈述和来自 HIC 组的 34 条陈述达成共识，并获得了较高的重要性平均分（高于七分中的五分）。世界卫生组织（WHO）卫生应急和灾害风险管理框架中建议最多的部分是 LMIC 组的“人力资源”（n=15）、“规划和协调”（n=7）和“社区卫生应急和灾害风险管理能力”（n=6）。HIC 组中建议最多的部分是“政策、战略和立法”（n=7）和“人力资源”（n=7）。
专家小组就卫生应急和灾害风险管理的劳动力发展提供了一份全面的重要且可操作的战略建议清单。
