卫生工作人员测量的基本转变:以人为中心的方法
Pooja Yerramilli1, Kathryn Andrews1, Jigyasa Sharma1
1Health, Nutrition and Population Global Practice, World Bank, Washington, DC, USA.
The Lancet. Global health
|December 20, 2024
概括
由于COVID-19的流行病加剧了卫生工作者对恶劣条件的不满. 以人为中心的方法来衡量卫生工作人员的表现,专注于福祉,对于全球卫生目标至关重要.
科学领域:
- 健康劳动力研究 卫生劳动力研究
- 公共卫生政策 公共卫生政策
- 组织心理学 组织心理学
背景情况:
- 卫生部门在工人行为和绩效驱动因素 (如工作满意度) 上面临着持续的挑战,COVID-19使其恶化.
- 长期以来,诸如高工作量和恶劣条件等结构性问题一直是卫生工作者不满的原因.
- 疫情加剧了不安全的条件,导致工人死亡,增加了倦怠和劳动力流离失所.
研究的目的:
- 倡导以人为中心的方法来衡量卫生工作人员.
- 重新审视将卫生工作者视为系统输入的传统指标.
- 促进向反映工人福祉和行为驱动因素的指标的转变.
主要方法:
- 系统化以人为中心的健康劳动力测量方法.
- 批判性地重新检查历史指标 (缺勤率,案件量,能力).
- 分析大型调查的修订,例如世界银行的服务交付指标 (SDI) 健康调查.
主要成果:
- 传统的指标往往仅将卫生工作者描述为输入.
- 以人为中心的镜头是必要的,以开发适合目的的政策见解.
- 重新审视缺席,工作量,能力和工作满意度等指标是必不可少的.
结论:
- 卫生工作者福祉对于实现全球卫生目标至关重要.
- 采用以人为中心的测量对于应对劳动力挑战至关重要.
- 通过专注于卫生系统中人类因素,提高了政策洞察力.
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