Priorities for research into human resources for health in low- and middle-income countries
Priorities for research into human resources for health in low- and middle-income countries
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DOI：
10.2471/blt.09.066290
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发表时间：
2010-06-01
期刊：
影响因子：
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通讯作者：
Bennett, Sara
中科院分区：
文献类型：
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作者：
Ranson, Michael Kent;Chopra, Mickey;Bennett, Sara
目的确定低收入和中等收入国家关键利益攸关方对卫生人力资源政策的关切和研究重点；评估现有的卫生人力资源研究在多大程度上解决了这些关切和优先事项；方法本研究包括对4个地区24个中低收入国家的关键信息者进行访谈，包括卫生政策制定者、研究人员以及社区和公民社会代表，对迄今已完成的研究的相关综述进行文献搜索，并在咨询性多国研讨会上对访谈和文献搜索结果进行评估，在此期间，研究问题被优先排序。在协商研讨会上被列为最重要的问题是：(1)激励措施在多大程度上能在服务不足地区吸引和留住合格的卫生工作者？(Ii)双重执业和多重就业有何影响？以及(Iii)如何利用激励措施来优化效率和医疗质量？结论对于不同国家面临的人力资源政策问题的类型和解决这些问题所需证据的性质，存在明显的共识。采取协调行动支持和实施对这里确定的最优先问题的研究，可能会对卫生工作者的政策产生重大影响，并最终对穷人的健康产生重大影响。
Objective To identify the human resources for health (HRH) policy concerns and research priorities of key stakeholders in low- and middle-income countries; to assess the extent to which existing HRH research addresses these concerns and priorities; and to develop a prioritized list of core research questions requiring immediate attention to facilitate policy development and implementation.Methods The study involved interviews with key informants, including health policy-makers, researchers and community and civil society representatives, in 24 low- and middle-income countries in four regions, a literature search for relevant reviews of research completed to date, and the assessment of interview and literature search findings at a consultative multinational workshop, during which research questions were prioritized.Findings Twenty-one research questions emerged from the key informant interviews, many of which had received little or no attention in the reviewed literature. The questions ranked as most important at the consultative workshop were: (i) To what extent do incentives work in attracting and retaining qualified health workers in underserviced areas? (ii) What is the impact of dual practice and multiple employment? and (iii) How can incentives be used to optimize efficiency and the quality of health care?.Conclusion There was a clear consensus about the type of HRH policy problems faced by different countries and the nature of evidence needed to tackle them. Coordinated action to support and implement research into the highest priority questions identified here could have a major impact on health worker policies and, ultimately, on the health of the poor.