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Covid-19 deaths among migrant health care workers: risks and responses

流动医疗工作者的 Covid-19 死亡：风险与应对措施

基本信息

批准号：
ES/W013193/1
负责人：
Nicola Yeates
金额：
$ 8.21万
依托单位：
The Open University
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FW013193%2F1
关键词：
Covid 19 deaths among migrant

项目摘要

There is a paucity of robust empirical evidence about whether migrant health care workers have the same level of exposure to Covid-19 infection and deaths as non-migrant health care workers, and whether variations exist between sectors (as between the health and social care sectors) and countries (as between higher income and lower income countries). Such empirical evidence on what responses have emerged in the face of threats to the resilience of health and care workforces and to realising the global goal of universal health coverage worldwide is also weak. Weak surveillance systems and fragmented reporting systems mean that special investigations to properly monitor Covid-19 impacts on health care workers and workforces are required by national and international decision-makers.This project aims to give proper attention to the place of migrants in health care systems during the Covid-19 pandemic. Migrant workers are of substantial and growing significance in many countries' health and care systems and are key to realising the global goal of universal health care so it is vital that we understand much better how Covid-19 is impacting on them. The project's overarching research question is, in the relation to Covid-19, what risks do migrant health care workers experience, what are the pressures on resilient and sustainable health care workforces, and how are stakeholders responding to these risks and pressures? In addition to strengthening the empirical evidence base on the risks of Covid-19 infection and death among migrant health care workers our project also tracks collective responses to such risks and challenges to sustainable health workforces for universal health coverage.We collect qualitative and quantitative data on Covid-19 risks, pressures and responses using different methods and techniques. We undertake a systematic literature review (SLR) of academic and non-academic publications using hybrid review methodologies to search for data and content analysis methodology to extract data of interest and evaluate the methods and findings of studies and publications. Coverage of three global languages - English, Spanish and Arabic - ensures greater ethnolinguistic reach and inclusivity of the SLR. We also develop a research method to estimate Covid-19 migrant health care worker mortality rates and trial the method, undertaking statistical analysis and modelling using quantitative data drawn from WHO and OECD data and other demographic and bio-statistical data as available. In addition, we collect data through interviews and documentary analysis on the responses of stakeholders (employers, trade unions, NGOs) to chart emerging patterns of response relating to health care worker training, recruitment, retention, deployment, international migration, and challenges for migrant health care worker protection at work consistent with international recruitment and employment norms. We involve key stakeholders from diverse communities of policy and practice during the research process, designed to have demonstrable potential for impact by meeting their time-critical requirements for robust empirical and analytical evidence about the multidimensional impacts of Covid-19 on health care workforces. This project is attuned to the urgent need for high quality data and for 'real world' solutions-focused Covid-19 research forged from collaboration. We are focused on the immediate application of proof-of concept findings to a rapidly-evolving global health crisis.

关于移徙保健工作者感染新冠肺炎和死亡的风险是否与非移徙保健工作者相同，以及部门之间(保健和社会保健部门之间)和国家之间(高收入国家和低收入国家之间)是否存在差异，缺乏强有力的经验证据。面对卫生和保健劳动力的韧性以及实现全球全民健康覆盖的全球目标所面临的威胁，这些经验证据也很薄弱。薄弱的监测系统和零散的报告系统意味着国家和国际决策者需要进行特别调查，以适当监测新冠肺炎对医护人员和劳动力的影响。该项目旨在适当关注新冠肺炎大流行期间流动人口在卫生保健系统中的地位。农民工在许多国家的医疗保健体系中具有重大且日益增长的重要性，他们是实现全民医疗这一全球目标的关键，因此我们有必要更好地了解新冠肺炎对他们的影响。该项目的首要研究问题是，在与新冠肺炎有关的问题上，农民工面临哪些风险，具有弹性和可持续发展的医疗队伍面临哪些压力，利益相关者如何应对这些风险和压力？除了加强农民工新冠肺炎感染和死亡风险的经验证据基础外，我们的项目还跟踪了可持续卫生人力在全民健康覆盖方面对此类风险和挑战的集体反应。我们使用不同的方法和技术收集关于新冠肺炎风险、压力和应对的定性和定量数据。我们对学术和非学术出版物进行系统的文献审查(SLR)，使用混合审查方法搜索数据和内容分析方法，以提取感兴趣的数据，并评估研究和出版物的方法和结果。覆盖三种全球语言--英语、西班牙语和阿拉伯语--确保了更大的民族语言覆盖面和包容性。我们还开发了一种估计新冠肺炎流动医护人员死亡率的研究方法，并对该方法进行了试验，使用从世卫组织和经合组织数据以及其他现有的人口和生物统计数据中提取的定量数据进行统计分析和建模。此外，我们通过访谈和文件分析收集关于利益攸关方(雇主、工会、非政府组织)的回应的数据，以绘制与卫生保健工作者培训、招聘、留住、部署、国际移徙以及根据国际招聘和就业规范保护移徙卫生保健工作者在工作中面临的挑战有关的新的应对模式。我们在研究过程中让来自不同政策和实践社区的关键利益相关者参与，旨在通过满足他们对关于新冠肺炎对医疗保健劳动力的多维影响的强有力的实证和分析证据的时间紧迫要求，具有明显的影响潜力。该项目迎合了人们对高质量数据的迫切需求，以及对通过合作形成的、以“现实世界”为重点的“新冠肺炎”研究方案的迫切需求。我们的重点是立即将概念验证结果应用于迅速演变的全球卫生危机。