School of Health & Social Care, University of Essex, Colchester, United Kingdom.
PLoS One. 2024 Apr 16;19(4):e0302175. doi: 10.1371/journal.pone.0302175. eCollection 2024.
Planning for investment in human resources for health (HRH) is critical to achieve Universal Health Coverage (UHC) and establish a sustainable health system. Informed planning warrants a better understanding of the health labour market (HLM) to tackle a variety of health and care workforce challenges: from addressing critical supply shortage, to ensuring optimal skills mix and distribution, and addressing motivation and performance challenges. Scant evidence around the overall role of socioeconomic and cultural factors like gender, race, marital status, citizenship (migrant) status, workplace hierarchy etc. in determining workforce composition, deployment, distribution, retention, un- and underemployment, sub-optimal work environments and other factors in the 'HRH crisis' warrants further exploration. This scoping review protocol aims to map and present the available evidence on inequalities experienced by health and care workforce, the socio-economic, cultural and other bases of these inequalities, and their outcomes/ consequences. PubMed, Web of Science, CINAHL and SCOPUS will be used to identify relevant literature. All types of published study designs in English language will be included if they discuss any inequality experienced by any category of health and care workers. Elaborate keyword categories for health and care workers and inequalities context have been developed, tested and reduced to the near-final search string. Eligible articles will be charted using the Joanna Briggs Institute checklist. The sample data extraction chart in JBI manual will be used as a basic skeleton with fields added to it to serve the needs of the scoping review. Descriptive analysis will be performed, depicting basic frequencies. While no further analysis has been advised in the JBI and PRISMA protocol, thematic analysis will be undertaken; following the Braun and Clarke's method with some modification and open coding as suggested by Maquire and Delahunt.
规划卫生人力投资对于实现全民健康覆盖和建立可持续卫生系统至关重要。有了明智的规划，我们就能更好地了解卫生劳动力市场，从而应对各种卫生和医疗保健劳动力挑战：从解决关键的供应短缺问题，到确保最佳技能组合和分布，以及解决激励和绩效挑战。关于社会经济和文化因素（如性别、种族、婚姻状况、公民身份（移民）状况、工作场所等级等）在决定劳动力构成、部署、分布、留用、失业和就业不足、次优工作环境以及“卫生人力危机”中的其他因素方面的总体作用的证据很少，因此需要进一步探讨。本范围综述方案旨在绘制和呈现有关卫生和医疗保健劳动力所经历的不平等现象、这些不平等现象的社会经济、文化和其他基础以及其结果/后果的现有证据。将使用 PubMed、Web of Science、CINAHL 和 SCOPUS 来确定相关文献。如果任何类别的卫生和保健工作者经历了任何不平等现象，将纳入所有类型的以英语发表的研究设计。已经制定、测试并简化了用于卫生和保健工作者以及不平等背景的详细关键字类别，以接近最终搜索字符串。将使用 Joanna Briggs 研究所清单对符合条件的文章进行图表绘制。将使用 JBI 手册中的样本数据提取图表作为基本框架，并在其中添加字段，以满足范围综述的需求。将进行描述性分析，描述基本频率。虽然 JBI 和 PRISMA 方案中没有建议进一步分析，但将进行主题分析；按照 Braun 和 Clarke 的方法进行，并根据 Maquire 和 Delahunt 的建议进行一些修改和开放式编码。
