How to bridge the gap in human resources for health
How to bridge the gap in human resources for health
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DOI：
10.1016/s0140-6736(04)17229-2
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发表时间：
2004-10-16
期刊：
影响因子：
168.9
通讯作者：
McPake, B
中科院分区：
文献类型：
--
作者：
Hongoro, C;McPake, B
人力资源是卫生系统的重要核心，但在卫生系统发展中却被忽视。低收入国家对卫生系统的要求不断升级，体现为千年发展目标和更多获得艾滋病毒/艾滋病治疗的新目标。与高收入国家相比，低收入和中等收入国家卫生系统的人力资源非常短缺，或者满足最低限度卫生干预措施的技能要求。对于低收入国家卫生人力的质量和生产力也存在同样严重的担忧。在解决这些问题的现有策略中，通过培训扩大医生和护士的数量受到很大限制。这是一个涉及多种因素和力量相互作用的难题。
Human resources are the crucial core of a health system, but they have been a neglected component of health-system development. The demands on health systems have escalated in low income countries, in the form of the Millennium Development Goals and new targets for more access to HIV/AIDS treatment. Human resources are in very short supply in health systems in low and middle income countries compared with high income countries or with the skill requirements of a minimum package of health interventions. Equally serious concerns exist about the quality and productivity of the health workforce in low income countries. Among available strategies to address the problems, expansion of the numbers of doctors and nurses through training is highly constrained. This is a difficult issue involving the interplay of multiple factors and forces.