From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management.

From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management.
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DOI:
10.1186/1478-4491-7-87
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发表时间:
2009-12-19
影响因子:
4.5
通讯作者:
Singh D
Singh D
中科院分区:
医学2区
文献类型:
--
作者:
Dubois CA;Singh D

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在世界各地,各国都面临着卫生保健工作者短缺的问题。政策制定者和系统管理者已经制定了一系列方法和举措,以优化现有的劳动力,并实现提供高质量护理所需的适当数量和人员组合。我们的文献审查发现,这些举措往往更注重工作人员的类型,而不是工作人员的技能和有效利用这些技能。我们的审查描述了证据的好处和陷阱,目前的方法,以人力资源优化医疗保健。我们的结论是,为了最有效地利用人力资源,医疗机构必须考虑一个更系统的方法-一个帐户的因素超出狭义的人力资源管理实践,包括组织和机构的条件。
Throughout the world, countries are experiencing shortages of health care workers. Policy-makers and system managers have developed a range of methods and initiatives to optimise the available workforce and achieve the right number and mix of personnel needed to provide high-quality care. Our literature review found that such initiatives often focus more on staff types than on staff members' skills and the effective use of those skills. Our review describes evidence about the benefits and pitfalls of current approaches to human resources optimisation in health care. We conclude that in order to use human resources most effectively, health care organisations must consider a more systemic approach - one that accounts for factors beyond narrowly defined human resources management practices and includes organisational and institutional conditions.
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