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Human Resources for Health

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https://www.readbyqxmd.com/read/29202768/assessing-the-precision-of-a-time-sampling-based-study-among-gps-balancing-sample-size-and-measurement-frequency
#1
Daniël van Hassel, Lud van der Velden, Dinny de Bakker, Lucas van der Hoek, Ronald Batenburg
BACKGROUND: Our research is based on a technique for time sampling, an innovative method for measuring the working hours of Dutch general practitioners (GPs), which was deployed in an earlier study. In this study, 1051 GPs were questioned about their activities in real time by sending them one SMS text message every 3 h during 1 week. The required sample size for this study is important for health workforce planners to know if they want to apply this method to target groups who are hard to reach or if fewer resources are available...
December 4, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29191247/the-implication-of-the-shortage-of-health-workforce-specialist-on-universal-health-coverage-in-kenya
#2
Mumbo Hazel Miseda, Samuel Odhiambo Were, Cirindi Anne Murianki, Milo Peter Mutuku, Stephen N Mutwiwa
BACKGROUND: Globally, there is an acute shortage of human resources for health (HRH), and the greatest burden is borne by low-income countries especially in sub-Saharan Africa and some parts of Asia. This shortage has not only considerably constrained the achievement of health-related development goals but also impeded accelerated progress towards universal health coverage (UHC). Like any other low-income country, Kenya is experiencing health workforce shortage particularly in specialized healthcare workers to cater for the rapidly growing need for specialized health care (MOH Training Needs Assessment report (2015))...
December 1, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29121948/assessing-the-health-workforce-implications-of-health-policy-and-programming-how-a-review-of-grey-literature-informed-the-development-of-a-new-impact-assessment-tool
#3
REVIEW
Andrea Nove, Giorgio Cometto, James Campbell
BACKGROUND: In their adoption of WHA resolution 69.19, World Health Organization Member States requested all bilateral and multilateral initiatives to conduct impact assessments of their funding to human resources for health. The High-Level Commission for Health Employment and Economic Growth similarly proposed that official development assistance for health, education, employment and gender are best aligned to creating decent jobs in the health and social workforce. No standard tools exist for assessing the impact of global health initiatives on the health workforce, but tools exist from other fields...
November 9, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29121943/managing-intra-eu-mobility-do-who-principles-of-ethical-recruitment-have-relevance
#4
Réka Kovács, Edmond Girasek, Eszter Kovács, Zoltán Aszalós, Edit Eke, Károly Ragány, Zoltán Cserháti, Miklós Szócska
BACKGROUND: The WHO Global Code of Practice on the International Recruitment of Health Personnel provides for guidance in health workforce management and cooperation in the international context. This article aims to examine whether the principles of the voluntary WHO Global Code of Practice can be applied to trigger health policy decisions within the EU zone of free movement of persons. METHODS: In the framework of the Joint Action on European Health Workforce Planning and Forecasting project (Grant Agreement: JA EUHWF 20122201 (see healthworkforce...
November 9, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29115962/bridging-the-human-resource-gap-in-surgical-and-anesthesia-care-in-low-resource-countries-a-review-of-the-task-sharing-literature
#5
REVIEW
Tigistu Ashengo, Alena Skeels, Elizabeth J H Hurwitz, Eric Thuo, Harshad Sanghvi
Task sharing, the involvement of non-specialists (non-physician clinicians or non-specialist physicians) in performing tasks originally reserved for surgeons and anesthesiologists, can be a potent strategy in bridging the vast human resource gap in surgery and anesthesia and bringing needed surgical care to the district level especially in low-resource countries. Although a common practice, the idea of assigning advanced tasks to less-specialized workers remains a subject of controversy. In order to optimize its benefits, it is helpful to understand the current task sharing landscape, its challenges, and its promise...
November 7, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29065912/correction-to-a-comparison-of-physician-emigration-from-africa-to-the-united-states-of-america-between-2005-and-2015
#6
Robbert J Duvivier, Vanessa C Burch, John R Boulet
No abstract text is available yet for this article.
October 24, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29052515/is-there-a-financial-incentive-to-immigrate-examining-of-the-health-worker-salary-gap-between-india-and-popular-destination-countries
#7
Gavin George, Bruce Rhodes
BACKGROUND: International migration is one of the factors resulting in the shortage of Human Resources for Health (HRH) in India. Literature suggests that migration is fuelled by the prospect of higher salaries available abroad. The extent of these salary differentials are unknown, and this study seeks to examine the salaries of selected HRH in India and four popular destination countries (United States of America, United Kingdom, Canada and the United Arab Emirates), whilst accounting for the in-country cost of living...
October 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29052504/family-effects-on-the-rurality-of-gp-s-work-location-a-longitudinal-panel-study
#8
Matthew R McGrail, Deborah J Russell, Belinda G O'Sullivan
BACKGROUND: Reduced opportunities for children's schooling and spouse's/partner's employment are identified internationally as key barriers to general practitioners (GPs) working rurally. This paper aims to measure longitudinal associations between the rurality of GP work location and having (i) school-aged children and (ii) a spouse/partner in the workforce. METHODS: Participants included 4377 GPs responding to at least two consecutive annual surveys of the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal study between 2008 and 2014...
October 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28964267/opportunities-for-human-resources-for-health-and-rehabilitation-a-response-to-jesus-et-al
#9
EDITORIAL
Jessica Power, Joanne McVeigh, Brynne Gilmore, Malcolm MacLachlan
We welcome Jesus et al.'s paper, which makes an important contribution to the under-researched area of the physical rehabilitation workforce. The authors present recommendations to "advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs" (p. 1). We argue that their perspective could however be strengthened by adopting a stronger global perspective, including consideration of the needs of low-resource settings. In particular, we highlight the integral role of more effective sector and inter-sectoral governance, the opportunity to support the development of community-based rehabilitation (CBR), the lessons that can be learnt from human resources for health (HRH) research and practice more generally, and the recent developments in the global provision of assistive technologies...
September 30, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28962571/one-health-ecohealth-capacity-building-programs-in-south-and-south-east-asia-a-mixed-method-rapid-systematic-review
#10
REVIEW
Pranab Chatterjee, Abhimanyu Singh Chauhan, Jessy Joseph, Manish Kakkar
BACKGROUND: Although One Health (OH) or EcoHealth (EH) have been acknowledged to provide comprehensive and holistic approaches to study complex problems, like zoonoses and emerging infectious diseases, there remains multiple challenges in implementing them in a problem-solving paradigm. One of the most commonly encountered barriers, especially in low- and middle-income countries, is limited capacity to undertake OH/EH inquiries. A rapid review was undertaken to conduct a situation analysis of the existing OH/EH capacity building programs, with a focused analysis of those programs with extensive OH engagement, to help map the current efforts in this area...
September 29, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28962569/perspectives-and-experiences-of-community-health-workers-in-brazilian-primary-care-centers-using-m-health-tools-in-home-visits-with-community-members
#11
Julia Schoen, John William Mallett, Rebecca Grossman-Kahn, Alexandra Brentani, Elizabeth Kaselitz, Michele Heisler
BACKGROUND: Mobile health (m-health) tools are a promising strategy to facilitate the work of community health workers (CHWs) in low- and middle-income countries (LMICs). Despite their potential value, little is known about CHWs' experiences working with m-health tools in their outreach activities with community members. METHODS: To understand the benefits of and barriers to using m-health tools for CHWs, we conducted semi-structured interviews with 57 CHWs employed in six primary care centers in São Paulo, Brazil...
September 29, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28942731/factors-influencing-trainee-doctor-emigration-in-a-high-income-country-a-mixed-methods-study
#12
Nicholas Clarke, Sophie Crowe, Niamh Humphries, Ronan Conroy, Simon O'Hare, Paul Kavanagh, Ruairi Brugha
BACKGROUND: The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland. METHODS: Using a partially mixed sequential dominant (quantitative) study design, a nationally representative sample of 893 trainee doctors was invited to complete an online survey...
September 25, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28938909/a-study-of-human-resource-competencies-required-to-implement-community-rehabilitation-in-less-resourced-settings
#13
REVIEW
Brynne Gilmore, Malcolm MacLachlan, Joanne McVeigh, Chiedza McClean, Stuart Carr, Antony Duttine, Hasheem Mannan, Eilish McAuliffe, Gubela Mji, Arne H Eide, Karl-Gerhard Hem, Neeru Gupta
BACKGROUND: It is estimated that over one billion persons worldwide have some form of disability. However, there is lack of knowledge and prioritisation of how to serve the needs and provide opportunities for people with disabilities. The community-based rehabilitation (CBR) guidelines, with sufficient and sustained support, can assist in providing access to rehabilitation services, especially in less resourced settings with low resources for rehabilitation. In line with strengthening the implementation of the health-related CBR guidelines, this study aimed to determine what workforce characteristics at the community level enable quality rehabilitation services, with a focus primarily on less resourced settings...
September 22, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28934979/human-resources-for-health-in-peru-recent-trends-2007-2013-in-the-labour-market-for-physicians-nurses-and-midwives
#14
M Michelle Jimenez, Anthony L Bui, Eduardo Mantilla, J Jaime Miranda
BACKGROUND: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru's recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health's (MOH) system. METHODS: Data from four different datasets, covering 2007-2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages...
September 21, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28923076/improving-the-performance-of-community-health-workers-in-swaziland-findings-from-a-qualitative-study
#15
Pascal Geldsetzer, Jan-Walter De Neve, Chantelle Boudreaux, Till Bärnighausen, Thomas J Bossert
BACKGROUND: The performance of community health workers (CHWs) in Swaziland has not yet been studied despite the existence of a large national CHW program in the country. This qualitative formative research study aimed to inform the design of future interventions intended to increase the performance of CHW programs in Swaziland. Specifically, focusing on four CHW programs, we aimed to determine what potential changes to their program CHWs and CHW program managers perceive as likely leading to improved performance of the CHW cadre...
September 18, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28923056/physicians-perceptions-on-the-impact-of-telemedicine-on-recruitment-and-retention-in-underserved-areas-a-descriptive-study-in-senegal
#16
Birama Apho Ly, Ivy Lynn Bourgeault, Ronald Labonté, Mbayang Ndiaye Niang
BACKGROUND: Similar to many places, physicians in Senegal are unevenly distributed. Telemedicine is considered a potential solution to this problem. This study investigated the perceptions of Senegal's physicians of the impact of telemedicine on their recruitment to and retention in underserved areas. METHODS: We conducted individual interviews with a random sample of 60 physicians in Senegal, including 30 physicians working in public hospitals and 30 physicians working in district health centres between January and June 2014, as part of a mixed methods study...
September 18, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28915887/professional-fulfillment-and-parenting-work-life-balance-in-female-physicians-in-basic-sciences-and-medical-research-a-nationwide-cross-sectional-survey-of-all-80-medical-schools-in-japan
#17
Yuka Yamazaki, Takanori Uka, Eiji Marui
BACKGROUND: In Japan, the field of Basic Sciences encompasses clinical, academic, and translational research, as well as the teaching of medical sciences, with both an MD and PhD typically required. In this study, it was hypothesized that the characteristics of a Basic Sciences career path could offer the professional advancement and personal fulfillment that many female medical doctors would find advantageous. Moreover, encouraging interest in Basic Sciences could help stem shortages that Japan is experiencing in medical fields, as noted in the three principal contributing factors: premature resignation of female clinicians, an imbalance of female physicians engaged in research, and a shortage of medical doctors in the Basic Sciences...
September 15, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28899406/forecasting-the-regional-distribution-and-sufficiency-of-physicians-in-japan-with-a-coupled-system-dynamics-geographic-information-system-model
#18
Tomoki Ishikawa, Kensuke Fujiwara, Hisateru Ohba, Teppei Suzuki, Katsuhiko Ogasawara
BACKGROUND: In Japan, the shortage of physicians has been recognized as a major medical issue. In our previous study, we reported that the absolute shortage will be resolved in the long term, but maldistribution among specialties will persist. To address regional shortage, several Japanese medical schools increased existing quota and established "regional quotas." This study aims to assist policy makers in designing effective policies; we built a model for forecasting physician numbers by region to evaluate future physician supply-demand balances...
September 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28893270/the-impact-of-the-advanced-practice-nursing-role-on-quality-of-care-clinical-outcomes-patient-satisfaction-and-cost-in-the-emergency-and-critical-care-settings-a-systematic-review
#19
REVIEW
Brigitte Fong Yeong Woo, Jasmine Xin Yu Lee, Wilson Wai San Tam
BACKGROUND: The prevalence of chronic illness and multimorbidity rises with population aging, thereby increasing the acuity of care. Consequently, the demand for emergency and critical care services has increased. However, the forecasted requirements for physicians have shown a continued shortage. Among efforts underway to search for innovations to strengthen the workforce, there is a heightened interest to have nurses in advanced practice participate in patient care at a great extent...
September 11, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28893248/the-impact-of-austerity-on-the-health-workforce-and-the-achievement-of-human-resources-for-health-policies-in-ireland-2008-2014
#20
Des Williams, Steve Thomas
BACKGROUND: The global economic crisis saw recessionary conditions in most EU countries. Ireland's severe recession produced pro-cyclical health spending cuts. Yet, human resources for health (HRH) are the most critical of inputs into a health system and an important economic driver. The aim of this article is to evaluate how the Irish health system coped with austerity in relation to HRH and whether austerity allowed and/or facilitated the implementation of HRH policy. METHODS: The authors employed a quantitative longitudinal trend analysis over the period 2008 to 2014 with Health Service Executive (HSE) staff database as the principal source...
September 11, 2017: Human Resources for Health
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