Skip to Main Navigation

The health workforce in Latin America and the Caribbean : an analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay (Английский)

This report provides a status update on the human resources for health (HRH) sub-system in six Latin American and Caribbean countries: Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The report structures its discussion around how the health workforce is financed, organized, managed, regulated, and performing. In the area of financing, the study presents the variety of contracting mechanisms, salary levels, and financial incentives offered across the countries and their role in being able to attract and retain health workers. On the organization of the HRH sub-system, the report looks at the skill-mix, training, and distribution of health care workers concluding that although the countries have made progress towards achieving key HRH targets and in making education more accessible, there continues to be limited absorption capacity for graduates, the Primary Health Care focus of training programs needs to be strengthened, and strategies to encourage rural service have not been able to fully address the gap in the distribution of health workers. In reviewing management strategies for HRH, the report presents how all countries have adopted the WHO Global Code of Practice on the International Recruitment of Health Personnel to recognize foreign-trained professionals to help address shortages and fill gaps of health worker presence in rural, remote areas. However, the countries continue to struggle with putting self-sufficiency policies in place to meet HRH needs such as the lack of promotion plans, limited non-monetary incentives, and the shortage of personnel for recruitment and eventual placement. In the area of regulation, the report presents the countries' efforts to reduce precarious employment and introduce HRH safety policies and legislation to regulate disputes and negotiations. On performance, the report found mixed results in the areas of access/availability to health workers and quality of care, factors discouraging dual practice, and unjustified absenteeism of health workers.

Подробная Информация

  • Автор

    Carpio,Carmen, Santiago Bench,Natalia

  • Дата подготовки документа

    2015/06/04

  • Тип документа

    Публикации

  • Номер отчета

    97475

  • Том

    1

  • Total Volume(s)

    1

  • Страна

    Колумбия,

    Коста-Рика,

    Ямайка,

    Панама,

    Перу,

    Уругвай,

  • Регион

    Латинская Америка и страны Карибского бассейна,

  • Дата раскрытия информации

    2015/06/17

  • Disclosure Status

    Disclosed

  • Название документа

    The health workforce in Latin America and the Caribbean : an analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay

  • Ключевые слова

    human resource management information system;Spanish Fund for Latin America;Human Resources for Health;health workforce;delivery of health services;Health Workers;Seguro Integral de Salud;quality of health services;basic health care;improving health care;high rate of absenteeism;Public and Private Institution;maternal and child health;millennium development goal;pay for performance;primary health care;quality of care;country case study;skilled birth attendants;community health worker;health care personnel;human resources information;literature review;financial incentive;health care quality;Health Service Delivery;effect on health;chronic disease prevention;privileges and immunity;health care facilities;health information system;health sector including;patient satisfaction survey;social sector expenditure;antenatal care services;health care facility;nurses and midwives;public health care;health care system;degree of fragmentation;Alternative Service Delivery;Ministerio de Salud;national accreditation;latin american study;health labor market;professional development opportunities;Health Worker Performance;improvement of health;gross domestic product;accessing health services;structure of incentive;strengthening human resources;national health fund;health service managers;health service provider;public health schools;health care budget;professional nurses;high-income group;salary levels;remote area;low-income group;professional practice;health outcome;rural area;working condition;noncommunicable diseases;professional working;medical supply;primary care;health training;disease burden;accreditation process;auxiliary nurse;health science;performance result;organizational structure;job description;Precarious Employment;health managers;short-term contract;job performance;study leave;health expenditure;ongoing work;short term contract;primary data;temporary contract;Contracting Mechanism;employment condition;health technician;health competency;accreditation program;contract services;Public Services;private provider;care cost;blood pressure;iron supplementation;Maternal Mortality;populous country;medical practice;operational reality;greater access;career development;motivational factor;frequency distribution;work ethic;contractual arrangement;political support;longer period;organizational environment;unintended consequence;monetary incentive;productive activity;economic study;Economic Studies;financial issue;surveillance system;contextual factor;financial resource;payment method;capitation payment;adequate supply;geographical distribution;young adulthood;commercial purpose;copyright owner;original work;occupational disease;institutional review;conceptual framework;document processing;work accident;management service;worker safety;certification process;certification program;delivering services;Salary Scales;vulnerable group;absorption capacity;ecological study;health program;social health;road map;rural distribution;multiple actor;scientific journal;secondary level;compensation system;improving performance;incentive mechanism;home country;caesarean section;home countries;health economist;knowledge gap;health finance;health equality;performance analysis;cost elements;medical degree;collected information;table payment;mediterranean region;public hospital;health interventions;health facility;comparative study;

Файлы Для Скачивания

ПОЛНЫЙ ОТЧЕТ

Официальная версия документа (может содержать подписи, и т.д.)