医疗保健领域的劳动力危机:推动辩论,沟通证据与政策。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Ellen Kuhlmann, Gabriela Lotta, Gilles Dussault, Michelle Falkenbach, Tiago Correia
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引用次数: 0

摘要

本特刊旨在通过关注政策建议的实施情况并找出薄弱环节,推动关于医疗保健劳动力(HCWF)的讨论。所选文章重点介绍了各国广泛的医疗卫生劳动力(HCWF)政策和干预措施。所面临的挑战往往源于卫生系统宏观、中观和微观层面的政策失误和治理漏洞。缓解 HCWF 危机的建议包括相互关联的战略、多部门/跨部门政策、以团结为基础的努力、协作、技能组合改革、公平措施、全球方法,以及至关重要的坚定政治意愿。此外,本特刊还探讨了具体的政策解决方案,如以社区为中心的行动和社区医疗工作者的就业、心理健康支持举措、将难民和流离失所的医疗工作者纳入劳动力市场,以及为应对气候变化的影响做好准备。本特刊呼吁制定变革性的人道主义人道主义工作基金政策和多层次跨部门治理,作为有效应对危机的必要组成部分。只有当高危产妇和新生儿政策在公共政策领域的地位不断提升,并将高危产妇和新生儿研究作为一个独特的学术领域时,才有可能实现这一目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The workforce crisis in healthcare: Moving the debate to bridge evidence and policy

This Special Issue aims to advance the healthcare workforce (HCWF) debate by directing its attention to the implementation of policy recommendations and identifying weaknesses. The selection of articles highlights a wide range of HCWF policies and interventions across various countries. The challenges faced often stem from policy failures and governance gaps at the macro-, meso- and micro-levels of health systems. Recommendations to mitigate the HCWF crisis include interconnected strategies, multi-/transsectoral policies, solidarity-based efforts, collaboration, skill-mix reforms, equity measures, global approaches, and crucially, strong political will. In addition, specific policy solutions are explored, such as community-centred action and employment of community health workers, mental health support initiatives, inclusion of refugees and displaced healthcare workers into the labour market, and preparing the HCWF for the impact of climate change. This Special Issue calls for transformative HCWF policies and multi-level transsectoral governance as essential components needed to effectively address the crisis. This will only be possible, if HCWF policy moves higher up in the public policy arena leading, among other things, to the establishment of HCWF research as a distinct academic field.

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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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