一个多阶段的方法,开发一个概念模型的人力资源健康观测中心 (HRHO) 整合数据和证据:伊朗的案例研究
Zhila Najafpour1, Mohammad Arab2, Kamran Shayanfard3
1Department of Health Care Management, Public Health Faculty, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. najafpour-zh@ajums.ac.ir.
这项研究开发了一个概念模型,以整合人力资源健康 (HRH) 数据和证据,以便更好地规划卫生系统. 该模型支持基于证据的决策,并可以建立一个国家HRH观察站.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 医疗卫生工作人员发展发展.
- 医疗信息学 医疗信息学
背景情况:
- 有效的健康人力资源 (HRH) 管理对于卫生系统的表现至关重要,影响生产力,可访问性,公平性,质量和效率.
- 人力资源规划的一个重大挑战是缺乏可靠的数据,这阻碍了在各种环境中有效管理员工.
研究的目的:
- 开发一个全面的概念模型,以整合健康人力资源 (HRH) 的数据和证据.
- 创建一个框架,支持卫生部门的基于证据的政策制定.
主要方法:
- 采用混合方法方法,涉及快速文献审查,与50名专家进行定性半结构面试和内容分析.
- 一个模型草案通过专家小组和两轮Delphi调查与15个关键信息提供者进行了验证.
主要成果:
- 拟议的模型整合了需求和供应侧的HRH元素,包括输入,教育系统,劳动力市场结构,流程和输出.
- 关键组成部分包括监管系统,服务前和服务中的教育,市场动态,技术基础设施和政策制定过程.
- 该模型强调了利益相关者互动的网络化以及将HRH信息整合到证据生成的能力.
结论:
- 开发的模型作为一个协调系统的平台,通过数据流和网络,促进基于证据的决策.
- 提出了一种逐步的方法,以建立一个可持续的国家人力资源健康观察站 (HRHO).
- HRHO模型的设计是可以复制和适应各种不同的上下文环境.
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