具有20/20愿景的流行病准备:在卫生工作人员规划中应用交叉公平镜头
Anuj Kapilashrami1, Roomi Aziz1
1School of Health and Social Care, University of Essex, Colchester, UK.
概括
全球卫生人力资源 (HRH) 危机需要解决系统性不平等问题,而不仅仅是供需. 交叉股权镜头对于有效的流行病准备计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 健康的人力资源 (HRH) 对全民健康覆盖和疫情应对至关重要.
- 目前的全球HRH危机被认为是紧急情况,但疫情条约讨论限制了对能力和保护的关注.
- 歧视问题主要围绕性别,忽视了更广泛的系统因素.
研究的目的:
- 为了重新框架HRH危机超出简单的供需模式.
- 分析HRH短缺,分配不当和技能错位的机构和结构驱动因素.
- 提出一个跨部门的公平镜头,以了解和应对全球流行病准备中的HRH挑战.
主要方法:
- 对皇后陛下的传统供求框架的批评.
- 分析影响卫生工作人员的卫生系统内系统性不平等现象.
- 关于跨部门股权框架的建议.
主要成果:
- 供需框架掩盖了根深蒂固的系统不平等,影响了卫生工作人员的动机,分配,满意度和绩效.
- 现有的方法无法充分解决HRH短缺和错位的复杂驱动因素.
- 交叉股权镜头提供了对HRH挑战的更全面的理解.
结论:
- 在全球流行病准备中优先考虑HRH需要超越简单的模型.
- 通过跨部门的公平性视角来解决制度和结构因素对于有效的HRH战略至关重要.
- 将这种镜头纳入流行病准备计划将促进更公平,更有弹性的卫生系统.
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