Maroor Parimala S, Pushpalatha B S, Kodkani Sangeetha, Shruthi Lourdu, Ashwini Damaraju, Sharma Anjali, Negandhi Himanshu, Shapeti Suresh S, Zodpey Sanjay P
Government of Karnataka, State Institute of Health and Family Welfare, Bengaluru, Karnataka, India.
Indian Institute of Public Health, Gurugram, Haryana, India.
Indian J Community Med. 2024 Jan-Feb;49(1):11-17. doi: 10.4103/ijcm.ijcm_125_23. Epub 2024 Jan 12.
The World Health Organization (WHO) recommends the requirement of human resource for health (HRH) stands at 44.5 skilled health workers per 10,000 population. WHO recognizes India as one of the countries which has HRH crisis. Karnataka, a southern state in India, has the highest number of medical colleges yet faces the shortage of specialists in the public hospitals. We conducted desk review to understand the HRH crisis, particularly the medical specialists in India. Simultaneously, we conducted secondary research to explore the initiatives taken by the Government of Karnataka (GoK) to mitigate the shortage of medical specialists in the rural areas. GoK scaled up the National Board of Examination in Medical Sciences (NBEMS) postgraduate and super-speciality courses such as Diplomate of National Board (DNB), Diploma, and Doctorate of National Board (DrNB) in district hospitals (minimum 250-500 bedded) and taluk hospitals (minimum 100 bedded) by utilizing the existing resources. Karnataka is the first state in India to expand the NBEMS (DNB and Diploma) courses in taluk hospitals and to begin DrNB courses in district hospitals. The paper documents the process of implementation of the NBEMS courses at district and taluk hospitals of Karnataka, which has supported in strengthening these hospitals in the state.
世界卫生组织（WHO）建议，每万人口的卫生人力资源（HRH）需求为44.5名技术熟练的卫生工作者。WHO将印度认定为存在卫生人力资源危机的国家之一。印度南部的卡纳塔克邦拥有数量最多的医学院，但公立医院却面临专科医生短缺的问题。我们进行了案头审查，以了解卫生人力资源危机，特别是印度的医学专科医生情况。同时，我们进行了二次研究，以探索卡纳塔克邦政府（GoK）为缓解农村地区医学专科医生短缺所采取的举措。卡纳塔克邦政府利用现有资源，在地区医院（至少有250 - 500张床位）和县级医院（至少有100张床位）扩大了医学科学国家委员会（NBEMS）的研究生和超专科课程，如国家委员会文凭（DNB）、文凭课程以及国家委员会博士（DrNB）课程。卡纳塔克邦是印度首个在县级医院扩大NBEMS（DNB和文凭课程）并在地区医院开设DrNB课程的邦。本文记录了卡纳塔克邦地区医院和县级医院实施NBEMS课程的过程，这对该邦这些医院的实力提升起到了支持作用。
