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印度应对医疗保健领域人力资源挑战的机遇。

India's Opportunity to Address Human Resource Challenges in Healthcare.

作者信息

Saxena Sangeeta G, Godfrey Thomas

机构信息

Public Health Sciences, Coastal Carolina University, Conway, USA.

Public Health Sciences, Penn State College of Medicine, Hershey, USA.

出版信息

Cureus. 2023 Jun 11;15(6):e40274. doi: 10.7759/cureus.40274. eCollection 2023 Jun.

DOI:10.7759/cureus.40274
PMID:37448434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10336366/
Abstract

India's health indicators have improved in recent times but continue to lag behind those of its peer nations. The country with a population of 1.3 billion, has an estimated active health workers density of doctors and nurses/midwives of 5.0 and 6.0 respectively, for 10,000 persons, which is much lower than the WHO threshold of 44.5 doctors, nurses, and midwives per 10,000 population. The issue is compounded by the skewed inter-state, urban-rural, and public-private sector divide. Calls to urgently augment the skilled health workforce reinforce the central role human resources have in healthcare, which has evolved into a complex multifactorial issue. The paucity of skilled personnel must be addressed if India is to accelerate its progress toward achieving universal health coverage and its sustainable development goals (SDGs). The recent increase in the federal health budget offers an unprecedented opportunity to do this. This article utilizes the ready materials, extract and analyze data, distill findings (READ) approach to adding to the authors' experiential learning to analyze the health system in India. The growing divide between the public and the burgeoning private health sector systems, with the latter's booming medical tourism industry and medical schools, are analyzed along with the newly minted National Medical Council, to recommend policies that would help India achieve its SDGs.

摘要

印度的健康指标最近有所改善,但仍落后于同侪国家。这个拥有13亿人口的国家,估计每10000人的医生和护士/助产士的在职卫生工作者密度分别为5.0和6.0,远低于世界卫生组织每10000人口44.5名医生、护士和助产士的门槛。州际、城乡以及公私部门之间的不平衡加剧了这一问题。迫切增加熟练卫生人力的呼声强化了人力资源在医疗保健中的核心作用,这已演变成一个复杂的多因素问题。如果印度要加快实现全民健康覆盖和可持续发展目标(SDGs),就必须解决熟练人员短缺的问题。最近联邦卫生预算的增加提供了一个前所未有的机会来做到这一点。本文采用现成材料、提取和分析数据、提炼研究结果(READ)的方法,将作者的经验学习纳入其中,以分析印度的卫生系统。分析了公共卫生部门与新兴的私营卫生部门系统之间日益扩大的差距,后者蓬勃发展的医疗旅游业和医学院,以及新成立的国家医学委员会,以推荐有助于印度实现可持续发展目标的政策。

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Size, composition and distribution of health workforce in India: why, and where to invest?印度卫生人力的规模、构成和分布:为什么投资?以及投资何处?
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