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应用初级卫生保健方法缩小免疫接种卫生人力资源差距。

Applying a Primary Health Care Approach to Closing the Human Resource for Health Gaps for Immunization.

作者信息

Olayinka Folake, O'Connell Thomas S, Morgan Christopher, Monzon Maria Fernanda, Oshin Tokunbo, Tampe Tova, Reed Alexandra, Cometto Giorgio, Clarke Adolphus Trokon, Kazi Muhammad Ahmad, Shearer Jessica C

机构信息

Public Health Institute, Via United States Agency for International Development's Global Health Training, Advisory and Support Contract (GHTASC) Project, Washington, DC 20024, USA.

Department of Global and Environmental Health, New York University, New York, NY 10003, USA.

出版信息

Healthcare (Basel). 2024 Jul 20;12(14):1449. doi: 10.3390/healthcare12141449.

DOI:10.3390/healthcare12141449
PMID:39057592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11276841/
Abstract

This perspective is focused on the evidence on human resources for health (HRH) solutions for immunization, as a part of a primary health care (PHC) approach.. In the wake of the COVID-19 pandemic and 50 years since the Expanded Program on Immunization (EPI) clocks 50 years since its inception. was initiated, evidence and experience demonstrate the significant HRH gaps in many countries and globally, and how countries are seeking innovative ways of closing them with limited resources. The aim of this perspective article is to highlight the growing gap between the needs and the realities related to health workforce for PHC, including immunization, and to call for increasing the visibility of HRH within global and national immunization agendas. This perspective highlights key guidelines and tools to improve HRH, such as integrating immunization and primary health care, addressing the mental health needs of the health workforce, addressing gender-related issues, rationalizing the roles and composition of PHC workforce teams, and meeting the surge requirements related to health emergencies.

摘要

这一观点聚焦于作为初级卫生保健方法一部分的免疫接种卫生人力资源(HRH)解决方案的证据。在新冠疫情之后,扩大免疫规划(EPI)自启动以来已历经50年。证据和经验表明,许多国家乃至全球在卫生人力资源方面都存在重大差距,以及各国如何在资源有限的情况下寻求创新方法来弥补这些差距。这篇观点文章的目的是突出初级卫生保健(包括免疫接种)卫生人力的需求与现实之间日益扩大的差距,并呼吁在全球和国家免疫议程中提高卫生人力资源的可见度。这一观点强调了改善卫生人力资源的关键指南和工具,例如整合免疫接种和初级卫生保健、满足卫生人力的心理健康需求、解决与性别相关的问题、使初级卫生保健工作队伍团队的角色和构成合理化,以及满足与卫生紧急情况相关的激增需求。

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本文引用的文献

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Glob Health Action. 2023 Dec 31;16(1):2228112. doi: 10.1080/16549716.2023.2228112.
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Skilled Health Workforce Emigration: Its Consequences, Ethics, and Potential Solutions.技术熟练的卫生人力移民:其后果、伦理及潜在解决方案
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Burnout and the Effect on the Global Health Care Workforce Crisis: An Expert Panel Discussion.职业倦怠及其对全球医疗保健劳动力危机的影响:专家小组讨论
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BMC Public Health. 2023 Jun 5;23(1):1073. doi: 10.1186/s12889-023-15975-3.
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Prioritising the health and care workforce shortage: protect, invest, together.优先解决卫生和护理劳动力短缺问题:共同保护、投资。
Lancet Glob Health. 2023 Aug;11(8):e1162-e1164. doi: 10.1016/S2214-109X(23)00224-3. Epub 2023 May 17.
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Systemic structural gender discrimination and inequality in the health workforce: theoretical lenses for gender analysis, multi-country evidence and implications for implementation and HRH policy.卫生人力领域系统性结构性性别歧视和不平等:性别分析的理论视角、多国证据及对实施和人力资源政策的影响。
Hum Resour Health. 2023 May 4;21(1):37. doi: 10.1186/s12960-023-00813-9.
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Vaccine. 2023 May 11;41(20):3156-3170. doi: 10.1016/j.vaccine.2023.03.062. Epub 2023 Apr 15.
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