检查实习后医疗官员在肯尼亚自治区的县级公共部门的吸收情况:一个定性案例研究
Yingxi Zhao1, Daniel Mbuthia2, Joshua Munywoki2
1Nuffield Department of Medicine, NDM Centre for Global Health Research, University of Oxford, S Parks Rd, Oxford, OX1 3SY, UK. yingxi.zhao@ndm.ox.ac.uk.
BMC health services research
|August 18, 2023
概括
肯尼亚面临着医疗官员 (MO) 的余,原因是培训的增加超过了公共部门的需求. 这种不匹配,加上有缺陷的招聘,导致实习后的MO失业和失业.
科学领域:
- 医疗卫生工作人员规划规划
- 医疗卫生的人力资源
- 医学教育政策 医学教育政策
背景情况:
- 肯尼亚2013年的去中心化将劳动力规划权转移到47个县政府.
- 在2015年至2018年期间,不到一半的医疗官员 (MO) 被公共部门吸收.
- 研究研究了实习后的MO吸收到公共部门.
研究的目的:
- 调查实习后医疗官员的吸收到肯尼亚县级公共部门.
- 分析影响医务人员招聘和就业结果的因素.
- 了解肯尼亚医疗官员的健康劳动力市场动态.
主要方法:
- 使用健康劳动力市场框架进行定性案例研究设计.
- 采访了30名实习后的管理人员,10名顾问和51名县级管理人员.
- 对招聘流程,结果,需求和供应进行主题分析.
主要成果:
- 由于财政限制和干部偏好,MO供应与公共部门需求之间存在重大不匹配.
- 县卫生部门缺乏对招聘的控制,面临政治干预和腐败.
- 失衡导致MO失业,就业不足,移民和工资影响.
结论:
- 供需不匹配和缺陷的招聘阻碍了公共部门的吸收,导致失业.
- 肯尼亚需要一个务实的方法和利益相关者对话来协调MO培训,招聘和管理.
- 政策调整对于有效规划和利用卫生工作人员至关重要.
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