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Human Resources for Health

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https://www.readbyqxmd.com/read/28212687/balancing-the-health-workforce-breaking-down-overall-technical-change-into-factor-technical-change-for-labour-an-empirical-application-to-the-dutch-hospital-industry
#1
Jos L T Blank, Bart L van Hulst
BACKGROUND: Well-trained, well-distributed and productive health workers are crucial for access to high-quality, cost-effective healthcare. Because neither a shortage nor a surplus of health workers is wanted, policymakers use workforce planning models to get information on future labour markets and adjust policies accordingly. A neglected topic of workforce planning models is productivity growth, which has an effect on future demand for labour. However, calculating productivity growth for specific types of input is not as straightforward as it seems...
February 17, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28202047/health-workforce-metrics-pre-and-post-2015-a-stimulus-to-public-policy-and-planning
#2
Francisco Pozo-Martin, Andrea Nove, Sofia Castro Lopes, James Campbell, James Buchan, Gilles Dussault, Teena Kunjumen, Giorgio Cometto, Amani Siyam
BACKGROUND: Evidence-based health workforce policies are essential to ensure the provision of high-quality health services and to support the attainment of universal health coverage (UHC). This paper describes the main characteristics of available health workforce data for 74 of the 75 countries identified under the 'Countdown to 2015' initiative as accounting for more than 95% of the world's maternal, newborn and child deaths. It also discusses best practices in the development of health workforce metrics post-2015...
February 15, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28173813/can-we-halt-health-workforce-deterioration-in-failed-states-insights-from-guinea-bissau-on-the-nature-persistence-and-evolution-of-its-hrh-crisis
#3
Giuliano Russo, Enrico Pavignani, Catia Sá Guerreiro, Clotilde Neves
BACKGROUND: Guinea-Bissau is one of the world's poorest and least developed countries. Amid poverty, political turmoil and state withdrawal, its health workforce (HW) has been swamped for the last four decades in a deepening crisis of under-resourcing, poor performance and laissez-faire. METHODS: The present study aimed at analysing the human resources for health (HRH) situation in Guinea-Bissau in light of the recent literature on distressed health systems, with the objective of contributing to understanding the ways health workers react to protracted turmoil, the resulting distortions and the counter-measures that might be considered...
February 7, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28159017/global-health-workforce-labor-market-projections-for-2030
#4
Jenny X Liu, Yevgeniy Goryakin, Akiko Maeda, Tim Bruckner, Richard Scheffler
BACKGROUND: In low- and middle-income countries, scaling essential health interventions to achieve health development targets is constrained by the lack of skilled health professionals to deliver services. METHODS: We take a labor market approach to project future health workforce demand based on an economic model based on projected economic growth, demographics, and health coverage, and using health workforce data (1990-2013) for 165 countries from the WHO Global Health Observatory...
February 3, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28159007/beyond-patient-care-the-impact-of-healthcare-reform-on-job-satisfaction-in-the-ethiopian-public-healthcare-sector
#5
Tsegahun Manyazewal, Mokgadi C Matlakala
BACKGROUND: While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in Ethiopia. METHODS: The study was designed as a facility-based cross-sectional survey of healthcare professionals and carried out in all public hospitals in central Ethiopia which have been implementing healthcare reform (n = 5)...
February 3, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28125990/an-assessment-of-staffing-needs-at-a-hiv-clinic-in-a-western-kenya-using-the-who-workload-indicators-of-staffing-need-wisn-2011
#6
B Burmen, N Owuor, P Mitei
BACKGROUND: An optimal number of health workers, who are appropriately allocated across different occupations and geographical regions, are required to ensure population coverage of health interventions. Health worker shortages in HIV care provision are highest in areas that are worst hit by the HIV epidemic. Kenya is listed among countries that experience health worker shortages (<2.5 health workers per 1000 population) and have a high HIV burden (HIV prevalence 5.6 with 15.2% in Nyanza province)...
January 26, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28114960/human-resources-for-health-and-rehabilitation-six-rehab-workforce-challenges-for-the-century
#7
REVIEW
Tiago S Jesus, Michel D Landry, Gilles Dussault, Inês Fronteira
BACKGROUND: People with disabilities face challenges accessing basic rehabilitation health care. In 2006, the United Nations Convention on the Rights of Persons with Disabilities (CRPD) outlined the global necessity to meet the rehabilitation needs of people with disabilities, but this goal is often challenged by the undersupply and inequitable distribution of rehabilitation workers. While the aggregate study and monitoring of the physical rehabilitation workforce has been mostly ignored by researchers or policy-makers, this paper aims to present the 'challenges and opportunities' for guiding further long-term research and policies on developing the relatively neglected, highly heterogeneous physical rehabilitation workforce...
January 23, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28109275/insights-of-health-district-managers-on-the-implementation-of-primary-health-care-outreach-teams-in-johannesburg-south-africa-a-descriptive-study-with-focus-group-discussions
#8
Shabir Moosa, Anselme Derese, Wim Peersman
BACKGROUND: Primary health care (PHC) outreach teams are part of a policy of PHC re-engineering in South Africa. It attempts to move the deployment of community health workers (CHWs) from vertical programmes into an integrated generalised team-based approach to care for defined populations in municipal wards. There has little evaluation of PHC outreach teams. Managers' insights are anecdotal. METHODS: This is descriptive qualitative study with focus group discussions with health district managers of Johannesburg, the largest city in South Africa...
January 21, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28103939/physician-migration-at-its-roots-a-study-on-the-emigration-preferences-and-plans-among-medical-students-in-romania
#9
Şoimita Mihaela Suciu, Codruta Alina Popescu, Mugur Daniel Ciumageanu, Anca Dana Buzoianu
BACKGROUND: Migration of healthcare workers is receiving increased attention worldwide. In Europe, the creation of a border-free labor market and its expansion with the EU enlargements of 2004, 2007, and 2013 endowed health professionals with the right to provide services and to relocate to another EU Member State. For the Romanian doctors, the EU-wide recognition of the medical degree obtained in Romania has created new opportunities, while inadequate working conditions and relatively low salaries pushed many of them to search for employment abroad...
January 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28100247/the-evolution-of-the-medical-workforce-in-cape-verde-since-independence-in-1975
#10
A P Delgado, A C Tolentino, P Ferrinho
BACKGROUND: Cape Verdean doctors have always graduated abroad. The first experience of pre-graduate medical education in Cape Verde begun in October 2015. Counting how many doctors Cape Verde has, knowing who they are, and knowing how they are distributed are very important to help fine-tune the medical training. The aim of this study is to analyze the evolution of the medical workforce in Cape Verde to support medical education implementation. METHODS: Secondary data on doctors, from July 1975 until December 2014, collected from the Ministry of Health, were entered into an SPSS 20 database and studied by a simple descriptive statistical analysis...
January 18, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28183351/a-new-resource-for-developing-and-strengthening-large-scale-community-health-worker-programs
#11
LETTER
Henry Perry, Lauren Crigler, Simon Lewin, Claire Glenton, Karen LeBan, Steve Hodgins
Large-scale community health worker programs are now growing in importance around the world in response to the resurgence of interest and growing evidence of the importance of community-based primary health care for improving the health of populations in resource-constrained, high-mortality settings. These programs, because of their scale and operational challenges, merit special consideration by the global health community, national policy-makers, and program implementers. A new online resource is now available to assist in that effort: Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers ( http://www...
January 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28077148/linking-communities-to-formal-health-care-providers-through-village-health-teams-in-rural-uganda-lessons-from-linking-social-capital
#12
Laban Kashaija Musinguzi, Emmanueil Benon Turinawe, Jude T Rwemisisi, Daniel H de Vries, David K Mafigiri, Denis Muhangi, Marije de Groot, Achilles Katamba, Robert Pool
BACKGROUND: Community-based programmes, particularly community health workers (CHWs), have been portrayed as a cost-effective alternative to the shortage of health workers in low-income countries. Usually, literature emphasises how easily CHWs link and connect communities to formal health care services. There is little evidence in Uganda to support or dispute such claims. Drawing from linking social capital framework, this paper examines the claim that village health teams (VHTs), as an example of CHWs, link and connect communities with formal health care services...
January 11, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28061894/reasons-why-specialist-doctors-undertake-rural-outreach-services-an-australian-cross-sectional-study
#13
Belinda G O'Sullivan, Matthew R McGrail, Johannes U Stoelwinder
BACKGROUND: The purpose of the study is to explore the reasons why specialist doctors travel to provide regular rural outreach services, and whether reasons relate to (1) salaried or private fee-for-service practice and (2) providing rural outreach services in more remote locations. METHODS: A national cross-sectional study of specialist doctors from the Medicine in Australia: Balancing Employment and Life (MABEL) survey in 2014 was implemented. Specialists providing rural outreach services self-reported on a 5-point scale their level of agreement with five reasons for participating...
January 7, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28061790/closing-the-gender-leadership-gap-a-multi-centre-cross-country-comparison-of-women-in-management-and-leadership-in-academic-health-centres-in-the-european-union
#14
Ellen Kuhlmann, Pavel V Ovseiko, Christine Kurmeyer, Karin Gutiérrez-Lobos, Sandra Steinböck, Mia von Knorring, Alastair M Buchan, Mats Brommels
BACKGROUND: Women's participation in medicine and the need for gender equality in healthcare are increasingly recognised, yet little attention is paid to leadership and management positions in large publicly funded academic health centres. This study illustrates such a need, taking the case of four large European centres: Charité - Universitätsmedizin Berlin (Germany), Karolinska Institutet (Sweden), Medizinische Universität Wien (Austria), and Oxford Academic Health Science Centre (United Kingdom)...
January 6, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28056998/factors-associated-with-occupancy-of-pharmacist-positions-in-public-sector-hospitals-in-uganda-a-cross-sectional-study
#15
Thomas Ocwa Obua, Richard Odoi Adome, Paul Kutyabami, Freddy Eric Kitutu, Pakoyo Fadhiru Kamba
BACKGROUND: Pharmacists are invaluable resources in health care. Their expertise in pharmacotherapy and medicine management both ensures that medicines of appropriate quality are available in health facilities at the right cost and are used appropriately. Unfortunately, some countries like Uganda have shortage of pharmacists in public health facilities, the dominant providers of care. This study investigated the factors that affect the occupancy of pharmacist positions in Uganda's public hospitals, including hiring patterns and job attraction and retention...
January 5, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/27955669/simulating-future-supply-of-and-requirements-for-human-resources-for-health-in-high-income-oecd-countries
#16
Gail Tomblin Murphy, Stephen Birch, Adrian MacKenzie, Janet Rigby
BACKGROUND: As part of efforts to inform the development of a global human resources for health (HRH) strategy, a comprehensive methodology for estimating HRH supply and requirements was described in a companion paper. The purpose of this paper is to demonstrate the application of that methodology, using data publicly available online, to simulate the supply of and requirements for midwives, nurses, and physicians in the 32 high-income member countries of the Organisation for Economic Co-operation and Development (OECD) up to 2030...
December 12, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27927220/e-learning-for-research-capacity-strengthening-in-sexual-and-reproductive-health-the-experience-of-the-geneva-foundation-for-medical-education-and-research-and-the-department-of-reproductive-health-and-research-world-health-organization
#17
Karim Abawi, Venkatraman Chandra-Mouli, Igor Toskin, Mario Philip Festin, Lynn Gertiser, Raqibat Idris, Hanan Hamamy, Moazzam Ali, Ameyo Masakhwe Bonventure, Marleen Temmerman, Aldo Campana
: Technological advancement has resulted in the increasing use of e-learning and online education, initially in high-income countries and increasingly in low- and middle-income countries. BACKGROUND: In 2010, the Geneva Foundation for Medical Education and Research, in collaboration with the World Health Organization and partner institutions, developed an online postgraduate course "From Research to Practice: Training Course in Sexual and Reproductive Health Research"...
December 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27923402/physicians-job-satisfaction-and-motivation-in-a-public-academic-hospital
#18
Paulo de Oliveira Vasconcelos Filho, Miriam Regina de Souza, Paulo Eduardo Mangeon Elias, Ana Luiza D'Ávila Viana
BACKGROUND: Physician shortage is a global issue that concerns Brazil's authorities. The organizational structure and the environment of a medical institution can hide a low-quality life of a physician. This study examines the relationship between the hospital work environment and physicians' job satisfaction and motivation when working in a large public academic hospital. METHODS: The study was restricted to one large, multispecialty Brazil's hospital. Six hundred hospital physicians were invited to participate by e-mail...
December 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27923394/an-economic-research-based-approach-to-calculate-community-health-staffing-requirements-in-xicheng-district-beijing
#19
Delu Yin, Tao Yin, Huiming Yang, Qianqian Xin, Lihong Wang, Ninyan Li, Xiaoyan Ding, Bowen Chen
BACKGROUND: A shortage of community health professionals has been a crucial issue hindering the development of CHS. Various methods have been established to calculate health workforce requirements. This study aimed to use an economic-research-based approach to calculate the number of community health professionals required to provide community health services in the Xicheng District of Beijing and then assess current staffing levels against this ideal. METHODS: Using questionnaires, we collected relevant data from 14 community health centers in the Xicheng District, including resident population, number of different health services provided, and service volumes...
December 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27903297/variability-of-staffing-and-staff-mix-across-acute-care-units-in-alberta-canada
#20
Krishna Sharma, Stephanie E Hastings, Esther Suter, Judy Bloom
BACKGROUND: The health workforce has a crucial position in healthcare, and effective distribution of the workforce is one of the critical areas for healthcare improvement. This requires a proper understanding of the allocation of healthcare providers including staffing levels and staffing variability within a healthcare system. High variability may imply significant differences in outcomes and greater opportunity to better distribute staffing and improve patient outcomes. The objective of this study was to examine staffing variation across acute care units in a large and integrated healthcare system...
December 1, 2016: Human Resources for Health
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