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卫生人力规划模型的方法和组成部分:系统评价。

Approaches and Components of Health Workforce Planning Models: A Systematic Review.

机构信息

Department of Medical Education, School of Virtual Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Med Sci. 2023 Jul;48(4):358-369. doi: 10.30476/ijms.2022.94662.2600.


DOI:10.30476/ijms.2022.94662.2600
PMID:37456211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10349158/
Abstract

BACKGROUND: To date, there is still no uniformity in forecasting models for health workforce planning (HWFP). Different countries use various HWFP models, some of which are context-specific. The objective of this systematic review is to determine approaches and components of HWFP models. METHODS: A systematic review of studies published in English and Persian between 2004 and 2021 was performed by searching PubMed Central, MEDLINE, Web of Science, Scopus, Eric, and Elmnet databases. Articles that assessed HWFP models, focused on health service delivery, used input-output models, and a clear formulation process were included. Articles that scored ≥20 points on the "strengthening the reporting of observational studies in epidemiology" checklist were considered of acceptable quality for inclusion. RESULTS: Twenty articles were included for qualitative synthesis based on the inclusion and exclusion criteria. Most studies used the mixed method approach "supply and demand", whereas target- and needs-based approaches were used less frequently. The number of components used to estimate supply, demand, needs, and targets were 42, 32, 11, and 6, respectively. In addition, several unique factors used in the various HWFP models were identified. CONCLUSION: Different approaches are used in HWFP models, which is indicative of the lack of consensus on this topic. High diversity in the identified factors is related to the approach used and the context in which the model is applied.

摘要

背景:迄今为止,卫生人力规划(HWFP)的预测模型仍没有统一标准。不同国家使用不同的 HWFP 模型,其中一些是特定于背景的。本系统评价的目的是确定 HWFP 模型的方法和组成部分。

方法:通过检索 PubMed Central、MEDLINE、Web of Science、Scopus、Eric 和 Elmnet 数据库,对 2004 年至 2021 年间发表的英文和波斯语研究进行了系统评价。纳入评估 HWFP 模型、关注卫生服务提供、使用投入-产出模型和明确制定流程的文章。如果文章在“加强观察性研究在流行病学中的报告”清单上的得分≥20 分,则认为其具有可接受的纳入质量。

结果:根据纳入和排除标准,有 20 篇文章纳入定性综合分析。大多数研究使用了“供应和需求”的混合方法方法,而目标和需求为基础的方法则较少使用。用于估计供应、需求、需求和目标的组件数量分别为 42、32、11 和 6。此外,还确定了各种 HWFP 模型中使用的一些独特因素。

结论:HWFP 模型中使用了不同的方法,表明在这个主题上缺乏共识。所确定的因素存在很大的多样性,这与所使用的方法和模型应用的背景有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0964/10349158/71fc1a9d9b30/IJMS-48-358-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0964/10349158/71fc1a9d9b30/IJMS-48-358-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0964/10349158/71fc1a9d9b30/IJMS-48-358-g001.jpg

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本文引用的文献

[1]
The health workforce demand: a systematic literature review.

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[2]
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Hum Resour Health. 2021-4-26

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Hum Resour Health. 2021-3-10

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Ann Ig. 2021

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J Interprof Care. 2019-8-6

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Hum Resour Health. 2019-7-15

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A synthesis of recent analyses of human resources for health requirements and labour market dynamics in high-income OECD countries.

Hum Resour Health. 2016-9-29

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Phys Ther. 2016-1

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