University of Belgrade Faculty of Medicine, Institute of Social Medicine, Laboratory for Strengthening the Capacity and Performance of Health Systems and Health Workforce for Health Equity, Belgrade, Serbia.
HRH Policy Advisor WHO Europe, Copenhagen, Denmark.
Int J Health Plann Manage. 2024 May;39(3):945-955. doi: 10.1002/hpm.3790. Epub 2024 Feb 13.
BACKGROUND: Healthcare workforce crises often stem from healthcare workers' inequities. This study provides an overview of the main PHC workforce policy questions related to health equity, offering examples of evidence necessary to support the implementation of policies and strategies that increase equity in the health workforce and access to the PHC workforce and services. METHODS: The equity-related policies in PHC and workforce were linked with the indicators listed in the Global Health Workforce Network Data and Evidence Hub and guidelines for health workforce management. RESULTS: The policy-relevant questions in PHC cover many workforce issues such as the optimal size, equitable distribution, relevant competencies to ensure equitable healthcare access, and equitable approaches for retention, training, recruitment, benefits and incentive schemes and governance. This will require intersectionality evidence of the optimised staffing to PHC workload, that PHC practitioners' training demonstrates evidence-based knowledge aligned with locally relevant expertise. CONCLUSION: Critical for equitable PHC access and health equity is the establishment of efficient measurement of PHC workforce equity and its implications for population health. Using indicators that measure health and workforce equity in research, policy, and practices may improve recruitment and retention, and respond more effectively to the PHC workforce crises.
背景:医疗保健劳动力危机通常源于医疗保健工作者的不平等。本研究概述了与健康公平相关的主要初级卫生保健劳动力政策问题,提供了支持实施增加卫生劳动力公平性和获得初级卫生保健劳动力和服务的政策和战略所需的证据示例。
方法:将初级卫生保健和劳动力中的公平相关政策与全球卫生劳动力网络数据和证据中心列出的指标以及卫生劳动力管理指南联系起来。
结果:初级卫生保健中的政策相关问题涵盖了许多劳动力问题,例如最佳规模、公平分配、确保公平获得医疗保健的相关能力,以及公平的保留、培训、招聘、福利和激励计划和治理方法。这将需要交叉性证据,证明向初级卫生保健工作量优化配置人员,以及初级卫生保健从业者的培训展示了与当地相关专业知识相一致的基于证据的知识。
结论:实现公平的初级卫生保健机会和健康公平的关键是建立对初级卫生保健劳动力公平性及其对人口健康影响的有效衡量。在研究、政策和实践中使用衡量卫生和劳动力公平的指标,可能会提高招聘和留用率,并更有效地应对初级卫生保健劳动力危机。
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