Classifying and Measuring Human Resources for Health and Rehabilitation: Concept Design of a Practices- and Competency-Based International Classification
Classifying and Measuring Human Resources for Health and Rehabilitation: Concept Design of a Practices- and Competency-Based International Classification
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DOI：
10.1093/ptj/pzy154
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发表时间：
2019-04-01
期刊：
影响因子：
3.2
通讯作者：
Fronteira，Ines
中科院分区：
文献类型：
--
作者：
Jesus，Tiago S.;Landry，Michel D.;Fronteira，Ines
身体损伤和残疾的负担在高、中、低收入国家都在增加，但地球仪各地的人口仍然无法获得基本的身体康复服务。卫生和康复人力资源的全球短缺、分布不均和技能组合不足，都是造成这种不公平的原因。然而，目前还没有国际标准来分类HRH&R，并促进其全球监测和development.In这篇文章中，我们概念性地开发了一个国际分类HRH & R的基础上监测HRH & R的概念，通过他们的股票的做法和能力，而不是简单地计算康复专业人员，如物理或职业治疗师。这一概念解释了不同的人力资源健康与风险配置，以及不同的培训，能力，或实践法规在不同的位置，甚至在同一行业。我们的观点特别发展的概念，建议的分类，其结构，和可能的应用。其中的好处，利益相关者使用的分类将能够：（1）收集当地有效的和国际可比的数据，对人力资源健康和R;（2）帐户的康复做法和能力，在非专业康复工作者（例如，在资源较少/专业化的情况下）;（3）随着时间的推移跟踪能力升级或实践扩展;（4）推行以能力为本的人力资源管理措施，例如薪酬与能力水平挂钩，而非与专业类别挂钩;以及（5）为整个HRH&R的（跨）专业教育、实践规范甚至任务转移过程的发展提供信息。拟议的分类标准仍处于概念发展阶段，可以帮助推动政策，在实践和能力方面实现“正确”的人力资源、健康和风险存量。
The burden of physical impairments and disabilities is growing across high-, middle-, and low-income countries, but populations across the globe continue to lack access to basic physical rehabilitation. Global shortages, uneven distributions, and insufficient skill mix of human resources for health and rehabilitation (HRH&R) contribute to such inequitable access. However, there are no international standards to classify HRH&R and to promote their global monitoring and development.In this article, we conceptually develop an international classification of HRH&R based on the concept of monitoring HRH&R through their stock of practices and competencies, and not simply counting rehabilitation professionals such as physical or occupational therapists. This concept accounts for the varying HRH&R configurations as well as the different training, competencies, or practice regulations across locations, even within the same profession.Our perspective specifically develops the concept of a proposed classification, its structure, and possible applications. Among the benefits, stakeholders using the classification would be able to: (1) collect locally valid and internationally comparable data on HRH&R; (2) account for the rehabilitation practices and competencies among nonspecialized rehabilitation workers (eg, in less resourced/specialized contexts); (3) track competency upgrades or practice extensions over time; (4) implement competency-based human resources management practices, such as linking remuneration to competency levels rather than to professional categories; and (5) inform the development of (inter-)professional education, practice regulation, or even task-shifting processes for the whole of HRH&R. The proposed classification standard, still in a concept-development stage, could help drive policies to achieve the “right” stock of HRH&R, in terms of practices and competencies.