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将全球卫生与护理人力危机转化为实际行动:循证有效政策与实施之路径

Turning the global health and care workforce crisis into action: The pathway to effective evidence-based policy and implementation.

作者信息

Correia Tiago, Kuhlmann Ellen, Lotta Gabriela, Beja André, Morais Rita, Zapata Tomas, Campbell James

机构信息

Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Lisbon, Portugal.

WHO Collaborating Center on Health Workforce Policies and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.

出版信息

Int J Health Plann Manage. 2025 Jan;40(1):224-233. doi: 10.1002/hpm.3860. Epub 2024 Oct 13.

DOI:10.1002/hpm.3860
PMID:39396240
Abstract

The global health and care workforce (HCWF) is facing an evolving crisis, requiring urgent and sustained action. There is a critical need for enhanced workforce planning, management, and leadership, which are currently at risk of being overshadowed by political inertia, particularly in the post-COVID-19 context. A comprehensive approach tailored to the specific needs of different countries is outlined here, offering actionable insights for policymakers and stakeholders to address the HCWF crisis effectively. Key areas for critical analysis and improvement include identifying major challenges, developing policies that effectively address the HCWF crisis, and strengthening the implementation of evidence-based policies. These areas are detailed based on recent developments in the international debate, with the aim of providing comprehensive guidance for understanding the problems and identifying clear actions for improvement.

摘要

全球卫生与护理人力队伍(HCWF)正面临一场不断演变的危机,需要采取紧急且持续的行动。迫切需要加强人力队伍规划、管理和领导力,而目前这些方面有被政治惰性掩盖的风险,尤其是在新冠疫情后的背景下。本文概述了一种针对不同国家具体需求的综合方法,为政策制定者和利益相关者有效应对HCWF危机提供了可操作的见解。关键的分析和改进领域包括识别主要挑战、制定有效应对HCWF危机的政策以及加强循证政策的实施。这些领域根据国际辩论的最新进展进行了详细阐述,旨在为理解问题和确定明确的改进行动提供全面指导。

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