Responding to the global human resources crisis
Responding to the global human resources crisis
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DOI：
10.1016/s0140-6736(04)16108-4
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发表时间：
2004-05-01
期刊：
影响因子：
168.9
通讯作者：
Chen, L
中科院分区：
文献类型：
--
作者：
Narasimhan, V;Brown, H;Chen, L
国际社会正在对发展中国家的卫生危机作出越来越多的反应，重点是调动财政资源和增加获得基本药物的机会。然而，应对措施还没有解决卫生保健系统最重要的方面--使他们工作的人。卫生人力资源--提供公共卫生、临床和环境服务的人员--在许多发展中国家，特别是撒哈拉以南非洲，处于混乱和下降状态。这种混乱背后的原因是复杂的。几十年来，努力的重点是建立培训机构。然而，越来越明显的是，供给、需求和流动性（跨国、区域和地方）问题是人力资源问题的核心。如果劳动力没有实质性的改善，新筹集的资金和商品将无法兑现承诺。全球社会需要参与四项核心战略：提高人力资源问题的重要性;改善决策者可利用的概念基础和统计证据;收集、分享和学习国家经验;以及开始在国家一级制定和颁布影响危机所有方面的政策。
The global community is in the midst of a growing response to health crises in developing countries, which is focused on mobilising financial resources and increasing access to essential medicines. However, the response has yet to tackle the most important aspect of health-care systems-the people that make them work. Human resources for health-the personnel that deliver public-health, clinical, and environmental services-are in disarray and decline in much of the developing world, particularly in sub-Saharan Africa. The reasons behind this disorder are complex. For decades, efforts have focused on building training institutions. What is becoming increasingly clear, however, is that issues of supply, demand, and mobility (transnational, regional, and local) are central to the human-resource problem. Without substantial improvements in workforces, newly mobilised funds and commodities will not deliver on their promise. The global community needs to engage in four core strategies: raise the profile of the issue of human resources; improve the conceptual base and statistical evidence available to decision makers; collect, share, and learn from country experiences; and begin to formulate and enact policies at the country level that affect all aspects of the crisis.