Human resources for health: overcoming the crisis

Human resources for health: overcoming the crisis
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DOI:
10.1016/s0140-6736(04)17482-5
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发表时间:
2004-11-01
期刊:
影响因子:
168.9
通讯作者:
Wibulpolprasert, S
Wibulpolprasert, S
中科院分区:
医学1区
文献类型:
--
作者:
Chen, L;Evans, T;Wibulpolprasert, S

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在对全球劳动力的分析中,由100多名卫生领导人组成的联合学习倡议组织提出,动员和加强卫生人力资源,这一被忽视但至关重要的问题,是应对世界上一些最贫穷国家卫生危机和在所有国家建立可持续卫生系统的核心。几乎所有国家都面临着工人短缺、技能组合不平衡、分布不均、工作环境恶劣和知识基础薄弱的挑战。特别是在最贫穷的国家,劳动力受到艾滋病毒/艾滋病、向外移民和投资不足的攻击。有效的国家战略应得到国际援助的支持。归根结底,人力资源危机是一个共同的问题,需要共同承担责任,采取合作行动。建议建立行动联盟,以加强所有现有行为者的业绩,同时为新的行为者扩大空间和能量。
in this analysis of the global workforce, the joint Learning Initiative-a consortium of more than 100 health leaders-proposes that mobilisation and strengthening of human resources for health, neglected yet critical, is central to combating health crises in some of the world's poorest countries and for building sustainable health systems in all countries. Nearly all countries are challenged by worker shortage, skill mix imbalance, maldistribution, negative work environment, and weak knowledge base. Especially in the poorest countries, the workforce is under assault by HIV/AIDS, out-migration, and inadequate investment. Effective country strategies should be backed by international reinforcement. Ultimately, the crisis in human resources is a shared problem requiring shared responsibility for cooperative action. Alliances for action are recommended to strengthen the performance of all existing actors while expanding space and energy for fresh actors.