Building sustainable public health data science and informatics capacity: possibilities for Eastern Europe and Central Asia.

IF 3.5 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
George Gotsadze, Mariam Gelashvili, Elene Zhuravliova, Tamar Barbakadze, Jennifer Gilvydis, Ruth Levine, Steven Becknell
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引用次数: 0

Abstract

Prevention, detection, and response to pandemic-prone diseases involve collecting, analyzing, and applying data swiftly at scale. Achieving these goals requires adequate information technology and a skilled public health workforce capable of translating data into action. While public health informatics and data science programs are established in parts of the Western world, Eastern Europe and Central Asia (EECA) face significant gaps in educational pathways. This study mapped the educational and labor market structures in Georgia, Kazakhstan, and Moldova, identified barriers to training and retaining professionals in public health informatics and data science, and proposed sustainable models for integrating training into national systems. A mixed-methods approach included a review of 111 policy and regulatory documents, labor-market analysis, 147 semistructured interviews, seven focus groups, and two expert workshops (n = 72) that validated findings and prioritized policy options. Although all three countries demonstrate strategic commitment to digital transformation, investment in human capital remains insufficient. Educational programs are isolated, with no accredited degrees in these professions, and accreditation processes delay educational innovations. Employers lack awareness of the value of these professions, and salary gaps between the health and information technology sectors, as well as between public and private sectors, weaken workforce retention. The absence of occupational recognition in national regulations further constrains workforce development. Stakeholders endorsed modular, competency-based training-integrated into Master of Public Health programs and in-service certificates-as the most feasible way to scale capacity. Building a sustainable workforce requires short-term measures such as problem-based and continuing training, along with long-term policies that (i) prioritize human capital development in national digital health strategies, (ii) adjust educational and occupational classifications, (iii) modernize accreditation processes for modular credentialing, and (iv) align incentives to attract and retain talent. Together, these actions could enable EECA health systems to harness digital innovation for better health outcomes.

建立可持续的公共卫生数据科学和信息学能力:东欧和中亚的可能性。
预防、检测和应对容易流行的疾病涉及迅速大规模地收集、分析和应用数据。实现这些目标需要充分的信息技术和能够将数据转化为行动的熟练公共卫生工作人员。虽然西方世界的部分地区建立了公共卫生信息学和数据科学项目,但东欧和中亚(EECA)在教育途径上面临着巨大的差距。本研究绘制了格鲁吉亚、哈萨克斯坦和摩尔多瓦的教育和劳动力市场结构图;确定了培训和留住公共卫生信息学和数据科学专业人员的障碍;并提出了将培训纳入国家系统的可持续模式。混合方法包括对111项政策和法规文件的审查、劳动力市场分析、147次半结构化访谈、7个焦点小组和2个专家研讨会(n=72),这些研讨会验证了研究结果并确定了政策选择的优先顺序。尽管这三个国家都表现出对数字化转型的战略承诺,但对人力资本的投资仍然不足。教育项目是孤立的,在这些专业中没有经过认证的学位,认证过程推迟了教育创新。雇主缺乏对这些职业价值的认识,卫生和信息技术部门之间以及公共和私营部门之间的工资差距削弱了劳动力的保留。国家法规中缺乏职业承认进一步制约了劳动力的发展。利益攸关方赞同模块化、基于能力的培训——将其纳入公共卫生硕士课程和在职证书——是扩大能力的最可行方式。建设一支可持续的劳动力队伍需要采取短期措施,如基于问题的持续培训,以及长期政策:(1)在国家数字卫生战略中优先考虑人力资本开发;(2)调整教育和职业分类;(3)模块化认证的现代化认证流程;(4)调整激励措施以吸引和留住人才。总之,这些行动可以使EECA卫生系统能够利用数字创新来改善卫生结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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