The Governance, Policy, Process, and Capacity of Health Workforce Regulation and Accreditation: Qualitative Policy Analysis and Evidence from Palestine.

IF 3.4 Q1 HEALTH POLICY & SERVICES
Journal of Healthcare Leadership Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI:10.2147/JHL.S470670
Mohammed Alkhaldi, Shahenaz Najjar, Aisha Al Basuoni, Hassan Abu Obaid, Ibrahim Mughnnamin, Hiba Falana, Haya Omran Sultan, Yousef Ibrahim Aljeesh
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引用次数: 0

Abstract

Background: The significant health development achieved in Palestine last decades has been lost, in Gaza particularly. This requires fundamental health system reform and rebuilding, including health workforces. Strengthening health workforces involves essential elements: leadership, finance, policy, education, partnership, and management. The current unprecedented catastrophe in Gaza and overall instability in Palestine show the utmost necessity for rethinking and reforming all pillars of the already collapsed health system, including the workforce. Health Workforce Accreditation and Regulation (HWAR) standardizes healthcare evaluations, representing a critical research area in Palestine due to limited existing knowledge.

Objective: This study aims to enhance understanding of the HWAR in Palestine, and identify gaps and weaknesses, thereby enhancing the HWAR's development and optimization.

Methods: This qualitative study used an inductive approach to explore the landscape of HWAR. Data were collected from October to November 2019, when 22 semi-structured in-depth interviews - were conducted with experts, academics, leaders, and policymakers purposely selected from government, academia, and non-governmental organization sectors. Data analysis, namely, thematic and ground theory, was performed using Excel and MS programs.

Findings: The study revealed an absence of transparent governance and ineffective communication within HWAR systems. National policies and guidelines are problematic, with HWAR mechanisms fractured and needing reform. Licensing for healthcare workers hinges on local education, while monitoring and evaluation of HWAR are deficient. Some institutions adhere to HWAR standards, yet widespread updates and applications are necessary. Coordination among educational, accreditation, and practice sectors is non-systematic. Adequate human resources exist, but we need to improve HWAR management. Operational and political challenges limit HWAR, leading to a focus on immediate responses over sustainable system integration.

Conclusion: Boosting HWAR is critical for Palestine, especially after the ongoing conflict and humanitarian crisis that led to the dysfunction of the entire health system facilities. A collaborative strategy across sectors is needed to improve governance and outcomes. It is essential to foster strategic dialogue among academia, regulatory entities, and healthcare providers to enhance the HWAR system. Further study on HWAR's effectiveness is recommended.

卫生工作者监管和认证的治理、政策、流程和能力:来自巴勒斯坦的定性政策分析和证据。
背景:巴勒斯坦在过去几十年中取得的重大卫生发展已付诸东流,加沙的情况尤为严重。这需要从根本上改革和重建卫生系统,包括卫生工作人员队伍。加强卫生工作人员队伍涉及领导、财务、政策、教育、伙伴关系和管理等基本要素。加沙目前前所未有的灾难和巴勒斯坦的整体不稳定表明,最有必要重新思考和改革已经崩溃的卫生系统的所有支柱,包括劳动力。医务人员资格认证和监管(HWAR)使医疗保健评估标准化,由于现有知识有限,这在巴勒斯坦是一个重要的研究领域:本研究旨在加深对巴勒斯坦卫生劳动力认证和监管(HWAR)的了解,找出差距和薄弱环节,从而促进 HWAR 的发展和优化:本定性研究采用归纳法探索 HWAR 的情况。数据收集时间为 2019 年 10 月至 11 月,共进行了 22 次半结构式深度访谈,访谈对象特意选自政府、学术界和非政府组织部门的专家、学者、领导和决策者。使用 Excel 和 MS 程序进行了数据分析,即专题理论和基础理论:研究结果表明,在 HWAR 系统中缺乏透明的管理和有效的沟通。国家政策和指导方针存在问题,而 HWAR 机制则支离破碎,亟待改革。医护人员的执业资格取决于当地教育,而对 HWAR 的监督和评估则存在缺陷。一些机构遵守 HWAR 标准,但仍需广泛更新和应用。教育、认证和实践部门之间的协调缺乏系统性。人力资源充足,但我们需要改进 HWAR 管理。业务和政治方面的挑战限制了 HWAR 的发展,导致只注重即时响应而忽视了可持续的系统整合:加强 HWAR 对巴勒斯坦至关重要,尤其是在持续冲突和人道主义危机导致整个卫生系统设施功能失调之后。需要制定跨部门的合作战略,以改善治理和成果。必须促进学术界、监管机构和医疗服务提供者之间的战略对话,以加强 HWAR 系统。建议进一步研究 HWAR 的有效性。
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来源期刊
Journal of Healthcare Leadership
Journal of Healthcare Leadership HEALTH POLICY & SERVICES-
CiteScore
5.40
自引率
2.30%
发文量
27
审稿时长
16 weeks
期刊介绍: Efficient and successful modern healthcare depends on a growing group of professionals working together as an interdisciplinary team. However, many forces shape the delivery of healthcare; changes are being driven by the markets, transformations in concepts of health and wellbeing, technology and research and discovery. Dynamic leadership will guide these necessary transformations. The Journal of Healthcare Leadership is an international, peer-reviewed, open access journal focusing on leadership for the healthcare professions. The publication strives to amalgamate current and future healthcare professionals and managers by providing key insights into leadership progress and challenges to improve patient care. The journal aspires to inform key decision makers and those professionals with ambitions of leadership and management; it seeks to connect professionals who are engaged in similar endeavours and to provide wisdom from those working in other industries. Senior and trainee doctors, nurses and allied healthcare professionals, medical students, healthcare managers and allied leaders are invited to contribute to this publication
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