在菲律宾实施全民健康覆盖的卫生工作人员问题和建议做法:定性研究
Veincent Christian F Pepito1, Arianna Maever Loreche2,3,4, Ruth Shane Legaspi5
1Health Governance Flagship Program, Center for Research and Innovation, School of Medicine and Public Health, Ateneo de Manila University, 1604, Pasig City, Philippines. vpepito@ateneo.edu.
Human resources for health
|April 24, 2025
概括
卫生工作人员面临的挑战阻碍了菲律宾的全民健康覆盖 (UHC). 教育,公务员和劳工协议方面的改革对于保留医疗保健专业人员和实现UHC至关重要.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 医疗卫生的人力资源
- 全民健康覆盖 全民健康覆盖
背景情况:
- 菲律宾是一个主要的卫生工作者出口国,在其下放系统中面临着重大的卫生工作者挑战.
- 转向全民医疗保险 (UHC) 受到与医疗保健专业人员的招聘,保留和管理相关的问题所阻碍.
研究的目的:
- 记录影响菲律宾UHC实施的特定卫生工作人员问题.
- 确定应对这些劳动力挑战和支持UHC的推实践.
主要方法:
- 该研究采用了定性方法,包括焦点小组讨论和关键信息人采访.
- 参与者包括卫生政策制定者,UHC实施者,当地首席执行官,医疗管理人员,提供者和不同治理层次和设施类型的患者.
- 在转录和翻译后,对数据进行了主题分析.
主要成果:
- 进入 (准备不足,招聘限制,预算上限),当前就业 (条件差,工资低,培训不足,工作不安全) 和退出 (移民,危机管理不良) 的劳动力问题阻碍了UHC.
- 推的做法包括奖学金,返回服务计划,对依赖者的财政援助,研究生培训机会和UHC特定的登陆.
结论:
- 医疗保健部门,地方政府法,教育系统 (基础,高等,卫生专业) 和公务员需要进行改革.
- 可持续的劳工协议和改进的培训计划对于保留卫生工作者和确保有效实施UHC至关重要.
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