卫生从业者监管系统的设计,交付和有效性:综合性审查
Kathleen Leslie1,2, Ivy Lynn Bourgeault3,4, Anne-Louise Carlton5
1Athabasca University, Athabasca, Canada. kleslie@athabascau.ca.
Human resources for health
|September 4, 2023
概括
卫生从业者监管 (HPR) 系统对于卫生工作人员的质量和患者安全至关重要. 需要对HPR结果进行更多的研究,以指导有效的政策和监管设计.
科学领域:
- 卫生政策 卫生政策
- 医疗卫生工作人员管理管理
- 监管科学 监管科学
背景情况:
- 卫生从业者监管 (HPR) 系统对于卫生工作人员的可用性,可访问性,质量和可持续性至关重要.
- 这些系统在促进患者安全方面的作用越来越得到认可.
研究的目的:
- 确定关于HPR的设计,交付和有效性的证据.
- 为与卫生从业者监管相关的政策决策提供信息.
主要方法:
- 综合分析2010年至2021年间出版的文学作品.
- 系统搜索十四个数据库,使用修改后的Donabedian框架提取和合成数据.
主要成果:
- 在HPR的治理改革显示了多专业监管机构,加强问责制和基于风险的方法的趋势.
- 高人力资源可以支持政府的劳动力战略,但在跨境认可资格和注册可移植性方面仍然存在挑战.
- 实践范围改革和法定注册的替代方案可以改善获取,质量和公共保护,尽管关于特定HPR流程的有效性存在知识差距.
结论:
- 确定了关键主题,问题和证据缺口,为政府,监管机构和卫生系统领导人提供了见解.
- 证据基础的局限性,主要来自高收入的英语国家和描述性研究,在概括发现时需要谨慎.
- 优先考虑对监管结果的研究,并实施对HPR干预措施的系统评估,对于实现卫生工作人员和系统目标至关重要.
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