Cocreation in Health Workforce Planning to Shape the Future of the Health Care System in the Philippines.

Autor:	Liwanag HJ; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. harvy.liwanag@ispm.unibe.ch.; Balik Scientist Program, Department of Science and Technology, Philippine Council for Health Research and Development, Taguig, Philippines., Uy J; Philippine Institute for Development Studies, Quezon City, Philippines.; Health Sciences Program, School of Science and Engineering, Ateneo de Manila University, Quezon City, Philippines., Politico MR; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Padilla MJ; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Arzobal MC; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Manuel K; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Cagouia AL; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Tolentino P; Health Human Resource Development Bureau, Department of Health, Manila, Philippines., Frahsa A; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland., Ronquillo K; Health Human Resource Development Bureau, Department of Health, Manila, Philippines.
Jazyk:	angličtina
Zdroj:	Global health, science and practice [Glob Health Sci Pract] 2022 Dec 21; Vol. 10 (6). Date of Electronic Publication: 2022 Dec 21 (Print Publication: 2022).
DOI:	10.9745/GHSP-D-22-00176
Abstrakt:	Background: The Philippines passed landmark legislation in 2019 on universal health coverage, including reforms in the development of its health workforce, an essential building block of responsive health care systems. Health Workforce Planning Cocreation Process: We based our planning process on a model of cocreation defined as sharing power and decision making to solve problems collaboratively and build consensus around action. Through cocreation with policy makers, researchers, and other stakeholders, we performed projection studies on 10 selected health professions and estimated the need for primary care at national and subnational levels, which was the most extensive health workforce projection carried out by the Philippine Department of Health to date. We determined health workforce requirements based on target densities recommended by the World Health Organization and a health needs approach that considered epidemiological and sociodemographic factors. In consultation with stakeholders, we interpreted our analysis to guide recommendations to address issues related to health workforce quantity, skill mix, and distribution. These included a broad range of proposals, including task shifting, expanding scholarships and deployment, reforming health professionals' education, and pursuing a whole-of-society approach, which together informed the National Human Resources for Health Master Plan. Conclusions: Our cocreation model offers lessons for policy makers, program managers, and researchers in low- and middle-income countries who deal with health workforce challenges. Cocreation led to relationship building between policy makers and researchers who jointly performed the research and identified solutions through open communication and agile coordination. To shape future health care systems that are responsive both during normal times and during crises, cocreation would be essential for evidence-informed policy development and policy-relevant research. (© Liwanag et al.)
Databáze:	MEDLINE
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