优化医疗保健工作人员的培训和部署:坦桑尼亚利益相关者的定性经验
Obadia Venance Nyongole1, Nathanael Sirili2, Magreth Thadei Mwakilasa3
1Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of onyongole@yahoo.co.uk.
利益相关者希望在坦桑尼亚更好地整合专业医疗保健培训和部署. 调整培训与服务计划对于质量护理和全民医疗覆盖至关重要.
科学领域:
- 健康 专业 教育 卫生 专业 教育
- 医疗卫生的人力资源
- 医疗保健管理的管理
背景情况:
- 针对健康的人力资源 (HRH) 的专业培训对于先进的医疗保健服务至关重要.
- 坦桑尼亚面临着在培训和部署高素质HRH专业角色方面的平衡方面面临的挑战.
- 了解利益相关者的经验是改善HRH管理的关键.
研究的目的:
- 探讨有关在坦桑尼亚的专业培训和HRH部署之间的平衡的利益相关者的经验.
- 识别专业医疗保健服务当前系统中的挑战和机遇.
主要方法:
- 作为一个更大的追踪器研究的一部分,进行了一项探索性定性案例研究.
- 通过14个焦点小组讨论 (FGD) 和301个深度访谈 (IDI) 收集数据.
- 参与者包括校友,主管,教师,学生和专业理事会管理人员.
主要成果:
- 在注册后观察到对专业服务的需求和认可的变化.
- 关键主题包括通过套餐培训改善服务提供,团队内部的专业性问题,以及医疗,护理和药房干部服务方案的不一致性.
- 具体发现突出了服务计划中关于医学超专业化和护理专业化的沉默,以及药房综合计划.
结论:
- 专业培训的需求很大,但专业性和不一致的认可/报酬存在挑战.
- 专业培训与现有服务方案之间的协调对于提供优质医疗保健至关重要.
- 需要多方利益相关者参与,以使HRH战略与全民健康覆盖目标保持一致.
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