印度哈里亚纳州的健康人力资源:什么可以做得更好?
Atul Sharma1, Shankar Prinja1, Krishna Dipankar Rao2
1Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
WHO South-East Asia journal of public health
|October 16, 2023
概括
这项研究分析了印度哈里亚纳州的医疗保健劳动力,揭示了不平等的分布和不同的动机水平. 改善治理对于公平的机会和更好的工作满意度至关重要,特别是对于管理人员来说.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 医疗卫生的人力资源
背景情况:
- 发展中国家在卫生系统中面临着重大投入和生产力挑战.
- 卫生的人力资源是有效提供医疗保健的关键组成部分.
- 了解卫生工作人员的地位对于系统改进至关重要.
研究的目的:
- 检查哈里亚纳州公共卫生系统医疗保健工作人员的可用性,分布,能力,生产力,动力和工作满意度.
- 确定影响临床干部动机和工作满意度的因素.
- 为改善北印度卫生工作人员管理提供数据.
主要方法:
- 从21个地区的377个公共卫生机构和1749名医疗保健提供者收集的初级数据.
- 从政府报告中获得的二次数据.
- 用于绩效评估和决定因素分析的双变量和多变量统计技术.
主要成果:
- 每1万人口中就有3.6名核心医疗保健工作者,区级差异很大 (1.35至6.57).
- 78%的批准职位被填补;工作量因设施级别而异.
- 社区卫生工作者报告的动机 (85%) 比临床工作人员 (78%) 高,管理人员的动机最低. 关键的激励因素包括在初级设施中派遣,合同就业和家庭同居.
结论:
- 治理策略需要改进,以提高医疗保健工作人员的可用性和公平分配,解决地理差异.
- 需要有针对性的努力来提高卫生系统管理人员的动力,特别是在表现不佳的地区.
- 减少各地区之间的动机差距对于更强大,更公平的公共卫生系统至关重要.
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