Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce.
Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce.
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DOI：
10.1186/1478-4491-4-12
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发表时间：
2006-05-27
影响因子：
4.5
通讯作者：
Franceschini, Maria Cristina
中科院分区：
文献类型：
--
作者：
Dussault, Gilles;Franceschini, Maria Cristina
获得高质量的保健服务对于改善许多保健成果至关重要，例如国际社会2000年通过的千年发展目标所针对的成果。如果弱势群体得不到熟练人员和其他必要投入，与卫生有关的千年发展目标就无法实现。本文件着重讨论获得服务的地理方面及其关键决定因素之一：合格人员的提供。本文件的目的是更好地了解保健人员分布地域不平衡的决定因素，并确定和评估为纠正这些不平衡而制定的战略。报告回顾了最近关于试图纠正地域不平衡的战略的决定因素、障碍和影响的文献，重点是发展中国家和发达国家的经验研究。报告分析了所执行战略成败的决定因素，并总结了经验教训。
Access to good-quality health services is crucial for the improvement of many health outcomes, such as those targeted by the Millennium Development Goals (MDGs) adopted by the international community in 2000. The health-related MDGs cannot be achieved if vulnerable populations do not have access to skilled personnel and to other necessary inputs. This paper focuses on the geographical dimension of access and on one of its critical determinants: the availability of qualified personnel. The objective of this paper is to offer a better understanding of the determinants of geographical imbalances in the distribution of health personnel, and to identify and assess the strategies developed to correct them. It reviews the recent literature on determinants, barriers and the effects of strategies that attempted to correct geographical imbalances, with a focus on empirical studies from developing and developed countries. An analysis of determinants of success and failures of strategies implemented, and a summary of lessons learnt, is included.