Narrowing the gap between eye care needs and service provision: the service-training nexus.
Narrowing the gap between eye care needs and service provision: the service-training nexus.
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DOI：
10.1186/1478-4491-7-35
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发表时间：
2009-04-23
影响因子：
4.5
通讯作者：
Masnick K
中科院分区：
文献类型：
--
作者：
Masnick K
发展中国家眼科保健的提供受到受过训练的人员数量有限和专业文化的制约。随着卫生系统寻求从其人员投资中获得更好的价值，使用受过特定但有限培训的人员作为多学科小组成员已变得越来越重要。需要采取更积极的行动，以确保更有效地分配作用和资源。专业卫生工作者的供应是培训系统的一个因素，因此理所当然需要更具成本效益、更灵活和可用的教育方法。本文提出了一个高度灵活的以能力为基础的多重入职和退出培训系统，该系统使培训与当前的人口和服务需求和要求相匹配和调整，同时随着时间的推移提高总体标准，并突出潜在利益的领域。在五大洲进行了文献调查和访谈。基于这一点和作者自己的经验，在一个发展中国家衍生了一个基于许可证的眼科保健多次出入境计划，并由一个国家的有关各方进行了建模和严格审查。该方案被证明具有很高的成本效益，并且很容易适应人口预期的眼科护理需求。在一个选定的国家，眼科保健行业的参与者对该计划表示赞赏。用于推导该模型的基本原则可以应用于许多发展中国家的许多眼科保健系统。该模型可用于其他具有与眼部护理类似结构的学科。
The provision of eye care in the developing world has been constrained by the limited number of trained personnel and by professional cultures. The use of personnel with specific but limited training as members of multidisciplinary teams has become increasingly important as health systems seek to extract better value from their investments in personnel. Greater positive action is required to secure more efficient allocation of roles and resources. The supply of professional health workers is a factor of the training system, so it stands to reason that more cost-effective, flexible and available education methods are needed. This paper presents a highly flexible competencies-based multiple entry and exit training system that matches and adapts training to the prevailing population and service needs and demands, while lifting overall standards over time and highlighting the areas of potential benefit. Literature surveys and interviews in five continents were carried out. Based on this and the author's own experience, a encies-based multiple entry and exit scheme for eye care in a developing country was derived, modeled and critically reviewed by interested parties in one country. The scheme was shown to be highly cost-effective and readily adaptable to the anticipated eye care needs of the population. Eye care players in one selected country have commented favourably on the scheme. The underlying principles used to derive this model can be applied to many eye care systems in many developing countries. The model can be used in other disciplines with similar constructs to eye care.