Alkhaldi Mohammed, Najjar Shahenaz, Al Basuoni Aisha, Abu Obaid Hassan, Mughnnamin Ibrahim, Falana Hiba, Sultan Haya Omran, Aljeesh Yousef Ibrahim
Faculty of Communication, Arts and Sciences, Department of Public Health, Canadian University Dubai, Dubai, United Arab Emirates.
School of Physical and Occupational Therapy, McGill University, Faculty of Medicine, Montreal, Canada.
J Healthc Leadersh. 2024 Aug 6;16:303-314. doi: 10.2147/JHL.S470670. eCollection 2024.
The significant health development achieved in Palestine last decades has been lost, in Gaza particularly. This requires fundamental health system reform and rebuilding, including health workforces. Strengthening health workforces involves essential elements: leadership, finance, policy, education, partnership, and management. The current unprecedented catastrophe in Gaza and overall instability in Palestine show the utmost necessity for rethinking and reforming all pillars of the already collapsed health system, including the workforce. Health Workforce Accreditation and Regulation (HWAR) standardizes healthcare evaluations, representing a critical research area in Palestine due to limited existing knowledge.
This study aims to enhance understanding of the HWAR in Palestine, and identify gaps and weaknesses, thereby enhancing the HWAR's development and optimization.
This qualitative study used an inductive approach to explore the landscape of HWAR. Data were collected from October to November 2019, when 22 semi-structured in-depth interviews - were conducted with experts, academics, leaders, and policymakers purposely selected from government, academia, and non-governmental organization sectors. Data analysis, namely, thematic and ground theory, was performed using Excel and MS programs.
The study revealed an absence of transparent governance and ineffective communication within HWAR systems. National policies and guidelines are problematic, with HWAR mechanisms fractured and needing reform. Licensing for healthcare workers hinges on local education, while monitoring and evaluation of HWAR are deficient. Some institutions adhere to HWAR standards, yet widespread updates and applications are necessary. Coordination among educational, accreditation, and practice sectors is non-systematic. Adequate human resources exist, but we need to improve HWAR management. Operational and political challenges limit HWAR, leading to a focus on immediate responses over sustainable system integration.
Boosting HWAR is critical for Palestine, especially after the ongoing conflict and humanitarian crisis that led to the dysfunction of the entire health system facilities. A collaborative strategy across sectors is needed to improve governance and outcomes. It is essential to foster strategic dialogue among academia, regulatory entities, and healthcare providers to enhance the HWAR system. Further study on HWAR's effectiveness is recommended.
巴勒斯坦在过去几十年所取得的显著健康发展成果已付诸东流，加沙地区尤为如此。这需要对卫生系统进行根本性改革和重建，包括卫生人力方面。加强卫生人力涉及多个关键要素：领导力、资金、政策、教育、伙伴关系和管理。当前加沙地区前所未有的灾难以及巴勒斯坦的整体动荡表明，对已然崩溃的卫生系统的所有支柱进行重新思考和改革迫在眉睫，其中包括卫生人力。卫生人力认证与监管（HWAR）使医疗评估标准化，鉴于现有知识有限，它在巴勒斯坦是一个关键的研究领域。
本研究旨在增进对巴勒斯坦卫生人力认证与监管的理解，识别差距与薄弱环节，从而推动其发展与优化。
本定性研究采用归纳法来探究卫生人力认证与监管的情况。数据收集于2019年10月至11月，期间对特意从政府、学术界和非政府组织部门挑选出的专家、学者、领导人和政策制定者进行了22次半结构化深度访谈。使用Excel和MS程序进行数据分析，即主题分析和扎根理论分析。
该研究揭示了卫生人力认证与监管系统中缺乏透明治理且沟通无效。国家政策和指导方针存在问题，卫生人力认证与监管机制支离破碎且需要改革。医护人员的执照发放取决于当地教育情况，而对卫生人力认证与监管的监测和评估存在不足。一些机构遵守卫生人力认证与监管标准，但仍需广泛更新和应用。教育、认证和实践部门之间的协调缺乏系统性。有充足的人力资源，但我们需要改进卫生人力认证与监管管理。运营和政治挑战限制了卫生人力认证与监管，导致侧重于即时应对而非可持续的系统整合。
加强卫生人力认证与监管对巴勒斯坦至关重要，尤其是在当前冲突和人道主义危机导致整个卫生系统设施功能失调之后。需要跨部门的协作战略来改善治理和成果。学术界、监管实体和医疗服务提供者之间开展战略对话以加强卫生人力认证与监管系统至关重要。建议对卫生人力认证与监管的有效性进行进一步研究。
