[哥伦比亚实施基本公共卫生职能的人力资源挑战,2023年,哥伦比亚实施基本公共卫生职能的人力资源挑战,2023年]。

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Juan Eduardo Guerrero Espinel, Consuelo Vélez Álvarez, María Del Pilar Cerezo Correa, Olga Lucía Cifuentes Aguirre, Mónica Padilla Díaz, Julián Vargas Jaramillo, María Patricia Arbeláez Montoya, William Alberto Robles Fonnegra
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引用次数: 0

摘要

目的:了解执行与基本公共卫生职能有关的公共卫生行动的工作人员的特点。方法:采用定性方法进行探索性研究;根据行政标准选定的城市;有目的的抽样,在四个部门至少有20人。职业是根据利益相关者地图和机构组织结构图来定义的。数据采用谷歌Forms®和面对面研讨会收集,并在Excel®和SPSS®中进行处理。结果:在政策周期的不同阶段,重点放在以下子职能上:在“评价”中,加强信息系统、监测、应急准备和促进循证研究;在“政策制定”、领导和治理方面,由弱势群体参与;在“资源分配”方面,需要改善保健人员的能力和分配,并保证获得药品和可持续的融资;在“获取”方面,预防和早期发现疾病,对健康的社会决定因素采取综合办法。会议指出,专业人员集中在首都城市,需要改善工作条件。结论:在哥伦比亚,基本的公共卫生职能加强了卫生管理,改善了获取、公平和生活质量。在策略周期的每个阶段确定了优先子功能,特别是在“访问”组件中。鉴于职业的多样性,有必要正式承认和协调这些概况。研究结果可为公共卫生教育提供指导,并为战略规划和综合公共政策的制定提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Human resources challenges in implementing the essential public health functions in Colombia, 2023Desafios de recursos humanos para a implementação das funções essenciais de saúde pública na Colômbia, 2023].

Objective: To characterize the workforce that performs public health actions related to the essential public health functions.

Methods: Exploratory study with a qualitative approach; municipalities selected according to administrative criteria; purposive sampling, with at least 20 people in four departments. Occupations were defined based on stakeholder mapping and organizational charts of institutions. Data were collected in Google Forms® and face-to-face workshops, and were processed in Excel® and SPSS®.

Results: Within the different phases of the policy cycle, priority was placed on following sub-functions: in "Evaluation", strengthening information systems, surveillance, emergency preparedness, and promoting evidence-based research; in "Policy development", leadership and governance, with the participation of vulnerable groups; in "Resource allocation", the need to improve the competencies and distribution of health personnel, and to guarantee access to medicines and sustainable financing; and in "Access", prevention and early detection of diseases, with a comprehensive approach to the social determinants of health. A concentration of professionals in capital cities and a need to improve working conditions were identified.

Conclusions: The essential public health functions strengthen stewardship in health and improve access, equity, and quality of life in Colombia. Priority sub-functions were identified in each phase of the policy cycle, particularly in the "Access" component. Given the diversity of occupations, it is necessary to formally recognize and coordinate these profiles. The findings offer guidance on public health education and support strategic planning and the formulation of comprehensive public policies.

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来源期刊
CiteScore
4.10
自引率
3.80%
发文量
222
审稿时长
20 weeks
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