Department of International Public Health, Liverpool School of Tropical Medicine, Pembroke Pl, Liverpool L3 5QA, United Kingdom.
European Observatory on Health Systems and Policies, Eurostation (Office 07C020), Place Victor Horta/Victor Hortaplein, 40 bte 30 1060, Brussels, Belgium.
Health Policy Plan. 2024 Nov 16;39(Supplement_2):i54-i74. doi: 10.1093/heapol/czae046.
The health workforce (HWF) is a critical component of the health sector. Intersectoral/multisectoral collaboration and action is foundational to strengthening the HWF, enabling responsiveness to dynamic population health demands and supporting broader goals around social and economic development-such development underpins the need for health in all policies (HiAP). To identify what can be learned from intersectoral/multisectoral activity for HWF strengthening to advance HiAP, we carried out a scoping review. Our review included both peer-reviewed and grey literature. Search terms encompassed terminology for the HWF, intersectoral/multisectoral activities and governance or management. We carried out a framework analysis, extracting data around different aspects of HiAP implementation. With the aim of supporting action to advance HiAP, our analysis identified core recommendations for intersectoral/multisectoral collaboration for the HWF, organized as a 'pathway to HiAP'. We identified 93 documents-67 (72%) were journal articles and 26 (28%) were grey literature. Documents reflected a wide range of country and regional settings. The majority (80, 86%) were published within the past 10 years, reflecting a growing trend in publications on the topic of intersectoral/multisectoral activity for the HWF. From our review and analysis, we identified five areas in the 'pathway to HiAP': ensure robust coordination and leadership; strengthen governance and policy-making and implementation capacities; develop intersectoral/multisectoral strategies; build intersectoral/multisectoral information systems and identify transparent, resources financing and investment opportunities. Each has key practical and policy implications. Although we introduce a 'pathway', the relationship between the areas is not linear, rather, they both influence and are influenced by one another, reflecting their shared importance. Underscoring this 'pathway' is the shared recognition of the importance of intersectoral/multisectoral activity, shared vision and political will. Advancing health 'for' all policies-generating evidence about best practices to identify and maximize co-benefits across sectors-is a next milestone.
卫生人力(HWF)是卫生部门的重要组成部分。跨部门/多部门合作和行动是加强卫生人力的基础,使卫生人力能够应对动态的人口健康需求,并支持更广泛的社会和经济发展目标——这种发展是所有政策中都需要考虑健康问题(HiAP)的基础。为了确定从跨部门/多部门活动中可以学到什么,以加强卫生人力来推进 HiAP,我们进行了范围界定审查。我们的审查包括同行评议文献和灰色文献。搜索术语包括卫生人力、跨部门/多部门活动以及治理或管理方面的术语。我们进行了框架分析,提取了与 HiAP 实施不同方面有关的数据。为了支持推进 HiAP 的行动,我们的分析确定了加强卫生人力跨部门/多部门合作的核心建议,将其组织为推进 HiAP 的“途径”。我们确定了 93 份文件——其中 67 份(72%)是期刊文章,26 份(28%)是灰色文献。这些文件反映了广泛的国家和地区背景。其中大部分(80 份,86%)是在过去 10 年内发表的,反映了该主题的出版物呈增长趋势,即关于卫生人力跨部门/多部门活动的出版物。从我们的审查和分析中,我们在推进 HiAP 的“途径”中确定了五个领域:确保强有力的协调和领导;加强治理和政策制定及执行能力;制定跨部门/多部门战略;建立跨部门/多部门信息系统;并确定透明、资源充足的筹资和投资机会。每个领域都有重要的实际和政策意义。虽然我们引入了“途径”,但这些领域之间的关系不是线性的,而是相互影响和相互作用的,反映了它们的共同重要性。强调这一“途径”的是对跨部门/多部门活动重要性、共同愿景和政治意愿的共同认识。推进全民健康“所有政策”——生成关于最佳实践的证据,以确定和最大化各部门之间的共同利益——是下一个里程碑。