"牙医从来没有见过":关于牙医在肯尼亚内罗毕多个工作位的观点
Cyril Ogada1,2, Laetitia C Rispel1
1Centre for Health Policy & South African Research Chairs Initiative, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Frontiers in health services
|July 25, 2025
概括
在内罗毕的牙医中,多个职位持有 (MJH) 是常见的,原因是奖励高且没有后果. 解决这一问题需要针对个体,系统和结构因素的干预措施,以改善口腔保健.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 口腔健康 劳动力研究 口腔健康 劳动力研究
- 医疗卫生的人力资源
背景情况:
- 牙医多个工作位 (MJH) 影响了全民医疗覆盖.
- 在非洲的牙医中对MJH的研究有限.
- 本研究探讨了肯尼亚内罗毕MJH的政策参与者的观点.
研究的目的:
- 探讨关键政策参与者的观点,如何在肯尼亚内罗毕的牙医中拥有多个工作位.
- 了解MJH在肯尼亚语境内的牙科专业中的驱动因素和后果.
- 为政策制定提供信息,以减轻MJH对口腔保健服务的负面影响.
主要方法:
- 采用半结构化和深度采访的定性研究.
- 采访了关键信息人 (政府,监管机构,专业机构,研究人员) 和牙医 (公共,私人,基于信仰的).
- 用专题分析来分析采访数据.
主要成果:
- MJH是牙医的规范性实践,由高奖励和低缺勤后果驱动.
- 主要动机是额外的收入,低的工作满意度,缺乏专业发展和紧张的公共卫生部门加剧了这种情况.
- 缺乏监管和强大的私营部门有助于MJH,对公共口腔卫生保健产生负面影响.
结论:
- 在内罗毕的牙医中,MJH是普遍存在的,这是由于专业的激励和监管监督的薄弱.
- 需要采用涉及个体,系统和结构性干预的多方面方法.
- 决策者,牙医和管理人员之间的合作对于减轻MJH对患者和医疗保健的负面影响至关重要.
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