在美洲的家庭和社区医学工作人员培训和实践
E Benjamín Puertas Donoso1, Bruna Moreno Dias1, Amy R Clithero-Eridon2
1Human Resources for Health Unit Department of Health Systems and Services Pan American Health Organization Washington, D.C. USA Human Resources for Health Unit, Department of Health Systems and Services, Pan American Health Organization, Washington, D.C., USA.
概括
美国的家庭和社区医学培训显示,在新兴主题和继续教育方面存在差距. 需要进行战略性投资,以改善工作条件,认可和教育质量,以实现弹性初级医疗保健系统.
科学领域:
- 公共卫生 公共卫生
- 医疗卫生工作人员发展发展.
- 初级医疗保健是一项主要的医疗保健服务.
背景情况:
- 家庭医学和家庭和社区医学是在美洲地区建立的专业.
- 尽管这些领域已经存在很长一段时间,但仍存在重大挑战,阻碍了这些领域的全面实施和影响.
- 加强这些领域对于建立强大,以初级卫生保健为中心的卫生系统至关重要.
研究的目的:
- 分析美洲区域内家庭和社区医学培训和实践的现状.
- 确定战略干预的现有差距和机会.
- 为旨在加强这些关键领域卫生工作人员的行动提供信息.
主要方法:
- 一项在2024年在世卫组织美洲地区进行的观察性,分析性,横截面研究.
- 通过专业协会的22项调查 (19个协会参与) 和专家的12项调查 (291名专家参与) 收集的数据.
- 分析涉及描述性统计和调查答案的内容分析.
主要成果:
- 培训主要通过专业化 (68.4%) 和居住计划 (63.2%) 进行,大多数国家 (63.2%) 要求进行能力考试.
- 在解决新兴主题方面存在差距,并且报告了有限的继续教育机会,特别是在中美洲,加勒比海,墨西哥和南美洲.
- 在福利和留守政策 (36.8%),繁重的工作负载,工作不安全,薪酬不足和资源不足方面发现了重大缺陷.
结论:
- 家庭和社区医学的实践尽管已经建立了数十年,但仍面临着实施挑战.
- 战略投资对于提高这一专业的认可,感知价值,工作条件和教育质量至关重要.
- 协调利益相关者的行动对于加强家庭和社区医学以及建立有弹性的初级医疗保健系统至关重要.
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