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Human Resources for Health

A S George, J Campbell, A Ghaffar
Health workers are central to people-centred health systems, resilient economies and sustainable development. Given the rising importance of the health workforce, changing human resource for health (HRH) policy and practice and recent health policy and systems research (HPSR) advances, it is critical to reassess and reinvigorate the science behind HRH as part of health systems strengthening and social development more broadly. Building on the recently published Health Policy and Systems Research Reader on Human Resources for Health (the Reader), this commentary reflects on the added value of HPSR underpinning HRH...
August 14, 2018: Human Resources for Health
Wiesława Dominika Wranik, Susan Marie Haydt
BACKGROUND: Primary care in Canada is the first point of entry for patients needing specialized services, the fundamental source of care for those living with chronic illness, and the main supplier of preventive services. Increased pressures on the system lead to changes such as an increased reliance on interdisciplinary teams, which are advocated to have numerous advantages. The functioning of teams largely depends on inter-professional relationships that can be supported or strained by the financial arrangements within teams...
August 13, 2018: Human Resources for Health
Joris van de Klundert, Judith van Dongen-van den Broek, Ebrahim Mohammed Yesuf, Jasmijn Vreugdenhil, Saeid Mohammed Yimer
BACKGROUND: We study healthcare employees' turnover intentions in the Afar National Regional State of Ethiopia. This rural region is experiencing the globally felt crisis in human resources, which is inhibiting its ability to meet health-related sustainable development goals. METHODS: Realist case study which combines literature study and qualitative analysis of interview and focus group discussion data, following a realist case study protocol. RESULTS: A large majority of employees has turnover intentions...
August 13, 2018: Human Resources for Health
Zsuzsa Győrffy, Diana Dweik, Edmond Girasek
BACKGROUND: Burnout worldwide and migration of caregivers are among the most important challenges of the twenty-first century health care. METHODS: Quantitative, online survey of Hungarian physicians (n = 4 784) was performed in 2013. A link to an anonymous, self-administered questionnaire was sent to all potential participants, namely to the registered members of the Hungarian Medical Chamber with a valid e-mail address. Linear regression analysis was used to determine the risk factors of burnout...
August 10, 2018: Human Resources for Health
Philipos Petros Gile, Martina Buljac-Samardzic, Joris Van De Klundert
Hospitals in Sub-Saharan Africa (SSA) face major workforce challenges while having to deal with extraordinary high burdens of disease. The effectiveness of human resource management (HRM) is therefore of particular interest for these SSA hospitals. While, in general, the relationship between HRM and hospital performance is extensively investigated, most of the underlying empirical evidence is from western countries and may have limited validity in SSA. Evidence on this relationship for SSA hospitals is scarce and scattered...
August 2, 2018: Human Resources for Health
Manuel J Carvajal, Ioana Popovici, Patrick C Hardigan
BACKGROUND: Men and women choose different levels of commitment in their careers and at home. Compared to men, women value the significance of tasks performed and social relations more and earnings less. The objective of this study was to explore whether male and female pharmacists show the same levels of satisfaction overall and with key facets of their job, whether overall satisfaction is associated with satisfaction with 12 key facets of pharmacists' jobs, and whether this association is similar for men and women...
July 31, 2018: Human Resources for Health
Jasmin Smyth, Sabrina Winona Pit, Vibeke Hansen
BACKGROUND: Work ability (WA) is an indication of how well someone's health, skills and experience match current job demands. The aim of this study was to ascertain whether the work ability model can provide a useful explanatory framework to understand some elements of sustainable employability (SE) amongst GPs. METHODS: A thematic analysis of 19 in-depth interviews with GPs in the Northern Rivers region of NSW, Australia, was conducted and formed the basis for a qualitative validation of the work ability model...
July 24, 2018: Human Resources for Health
Pilar Espinoza, Marina Peduzzi, Heloise F Agreli, Melissa A Sutherland
INTRODUCTION: The health organizations of today are highly complex and specialized. Given this scenario, there is a need for health professionals to work collaboratively within interprofessional work teams to ensure quality and safe care. To strengthen interprofessional teamwork, it is imperative that health organizations enhance strategic human resources management by promoting team member satisfaction. OBJECTIVE: To analyze the satisfaction of members in interprofessional teams and to explore interpersonal relationships, leadership, and team climate in a hospital context...
July 11, 2018: Human Resources for Health
Grace Kansayisa, Sojung Yi, Yihan Lin, Ainhoa Costas-Chavarri
BACKGROUND: There is a strong need for expanding surgical workforce in low- and middle-income countries. However, the number of medical students selecting surgical careers is not sufficient to meet this need. In Rwanda, there is an additional gender gap in speciality selection. Our study aims to understand the early variables involved in junior medical students' preference of specialisation with a focus on gender disparities. METHODS: We performed a cross-sectional survey of medical students during their clinical rotation years at the University of Rwanda...
July 11, 2018: Human Resources for Health
Marianne Corine Darwinkel, Julius Maina Nduru, Reuben Waswa Nabie, John Anzetse Aswani
BACKGROUND: Most sub-Saharan African countries have too few reproductive health (RH) specialists, resulting in high RH-related mortality and morbidity. In Kenya, task sharing in RH began in 2002, with the training of clinical officer(s)-reproductive health (CORH). Little is known about them and the extent of their role in the health system. METHODS: In 2016, we conducted a retrospective, quantitative two-stage study in Kenya to evaluate the use of CORH and 28 of their curriculum-derived RH competencies, to determine their contribution to expanded access to RH care...
July 11, 2018: Human Resources for Health
Yazed AlRuthia, Mohammad A Alsenaidy, Haitham K Alrabiah, Abdullah AlMuhaisen, Mohammad Alshehri
BACKGROUND: The economy of Saudi Arabia is currently undergoing a major transformation which will have an impact on employment in the pharmacy sector. However, quantitative data characterizing the pharmacy workforce in the Kingdom are currently not available. Therefore, the aim of this study was to determine the current status of the licensed pharmacy workforce in the pharmacy field in Saudi Arabia. METHODS: Descriptive statistics were performed on data from the Saudi Commission for Health Specialties (SCFHS) as of March 2017...
June 28, 2018: Human Resources for Health
Latha S Davda, Jennifer E Gallagher, David R Radford
OBJECTIVE: The aim of this review was to examine the migration motives, the barriers to and facilitators of integration of international dental graduates, compared with nurses and doctors in the United Kingdom. METHODS: Electronic databases Ovid MEDLINE, EMBASE, PubMed, Web of Knowledge and OECD publications were systematically searched for English language publications from January 2000 to January 2017. A total of 31 qualitative studies were selected and quality appraised and meta-synthesis of the qualitative data was carried out using framework synthesis...
June 27, 2018: Human Resources for Health
Hiroo Ide, Shunsuke Doi, Hidenao Atarashi, Shinsuke Fujita, Soichi Koike
BACKGROUND: The uneven geographical distribution of physicians in Japan is a result of those physicians electing to work in certain locations. In order to understand this phenomenon, it is necessary to analyze the geographic movement of physicians across the Japanese landscape. METHODS: We obtained individual data on physicians from 1978 to 2012 detailing their attributes, work institutions, and locations. The data are from Japanese governmental sources (the Survey of Physicians, Dentists, and Pharmacists)...
June 13, 2018: Human Resources for Health
Joost C L den Boer, Steven A Zijderveld, Josef J M Bruers
BACKGROUND: In workforce planning for oral and maxillofacial surgeons in the Netherlands, it is important to plan timely, as these dental specialists are required to earn both medical and dental degrees. An important factor to take into account in workforce planning is the outflow of the profession through retirement. In the workforce planning in the Netherlands, it was assumed that retirement plans are a predictor for the actual moment of retirement. The purpose of this study was to investigate this assumption...
May 30, 2018: Human Resources for Health
Claudia B Maier, Julia Köppen, Reinhard Busse
BACKGROUND: Countries vary in the extent to which reforms have been implemented expanding nurses' Scopes-of-Practice (SoP). There is limited cross-country research if and how reforms affect clinical practice, particularly in hospitals. This study analyses health professionals' perceptions of role change and of task shifting between the medical and nursing professions in nine European countries. METHODS: Cross-sectional design with surveys completed by 1716 health professionals treating patients with breast cancer (BC) and acute myocardial infarction (AMI) in 161 hospitals across nine countries...
May 25, 2018: Human Resources for Health
Bikash Gauchan, Stephen Mehanni, Pawan Agrawal, Mandeep Pathak, Santosh Dhungana
BACKGROUND: There is a global health workforce shortage, which is considered critical in Nepal, a low-income country with a predominantly rural population. General practitioners (GPs) may play a key role improving access to essential health services in rural Nepal, though they are currently underrepresented at the district hospital level. The objective of this paper is to describe how GPs are adding value in rural Nepal by exploring clinical, leadership, and educational roles currently performed in a rural district-level hospital...
May 10, 2018: Human Resources for Health
Helen Mwiinga Chipukuma, Joseph Mumba Zulu, Choolwe Jacobs, Gershom Chongwe, Mumbi Chola, Hikabasa Halwiindi, Jessy Zgambo, Charles Michelo
BACKGROUND: Community health workers (CHWs) are an important human resource in improving coverage of and success to interventions aimed at reducing malaria incidence. Evidence suggests that the performance of CHWs in malaria programs varies in different contexts. However, comprehensive frameworks, based on systematic reviews, to guide the analysis of determinants of performance of CHWs in malaria prevention and control programs are lacking. METHODS: We systematically searched Google Scholar, Science Direct, and PubMed including reference lists that had English language publications...
May 8, 2018: Human Resources for Health
Sebastian Olikira Baine, Arabat Kasangaki, Euzobia Margaret Mugisha Baine
BACKGROUND: Documented evidence shows that task shifting has been practiced in Uganda to bridge the gaps in the health workers' numbers since 1918. The objectives of this study were to provide a synthesis of the available evidence on task shifting in Uganda; to establish levels of understanding, perceptions on task shifting and acceptability from the decision and policy makers' perspective; and to provide recommendations on the implications of task shifting for the health of the population in Ugandan and human resource management policy...
May 2, 2018: Human Resources for Health
Mario Cesar Scheffer, Alex Jones Flores Cassenote, Aline Gil Alves Guilloux, Mario Roberto Dal Poz
BACKGROUND: The internal migration of physicians from one place to another in the same country can unbalance the supply and distribution of these professionals in national health systems. In addition to economic, social and demographic issues, there are individual and professional factors associated with a physician's decision to migrate. In Brazil, there is an ongoing debate as to whether opening medicine programmes in the interior of the country can induce physicians to stay in these locations...
May 2, 2018: Human Resources for Health
Nazar A Mohamed, Nadia Noor Abdulhadi, Abdullah A Al-Maniri, Nahida R Al-Lawati, Ahmed M Al-Qasmi
BACKGROUND: Participation of women in the medical profession over several countries worldwide was increased over the past decades. This paper is a part of ongoing studies aiming at addressing the issue of health workforce feminization among doctors in the Sultanate of Oman as well as exploring the health system readiness in dealing with this phenomenon. METHODS: Literature in addition to reports and records of the Ministry of Health, Oman (MoH), Sultan Qaboos University (SQU) and Oman Medical Specialty Board were reviewed regarding the gender of the doctors and the medical students...
April 27, 2018: Human Resources for Health
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