The Health Workforce in Latin America and the Caribbean : An Analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay
| Autor: | Carmen Carpio, Natalia Santiago Bench |
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| Předmět: |
Medical personnel--Uruguay, Public health personnel--Uruguay, Medical care--Economic aspects--Caribbean Area, Public health personnel--Peru, Medical personnel--Caribbean Area, Public health personnel--Caribbean Area, Medical personnel--Peru, Medical care--Economic aspects--Peru, Medical economics--Peru, Medical economics--Uruguay, Medical care--Economic aspects--Uruguay, Medical economics--Caribbean Area
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| Popis: | The health workforce is the foundation of care and affects quality and outcomes; human resources for health(HRH) constitutes the largest portion of the health care budget of most countries. Latin America and theCaribbean has been challenged by imbalances in workforce composition, distribution, and skill mix, as wellas by variations in productivity and quality.The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama,Peru, and Uruguay provides an update on HRH in these six countries. The discussion is structured around fivekey areas of the workforce: financing, organization, management, regulation, and performance.•• Financing: The authors present the variety of contracting mechanisms, salary levels, and financialincentives, and their roles in attracting and retaining health workers.•• Organization: The countries have made progress toward achieving HRH targets and making educationmore accessible. However, the absorption capacity remains limited for graduates, the primary health carefocus of training programs needs to be strengthened, and the strategies to encourage rural service havenot effectively addressed the distribution gap of health workers.•• Management: All six countries have adopted the World Health Organization's Global Code of Practice onthe International Recruitment of Health Personnel to recognize foreign-trained professionals to helpaddress shortages and fill gaps in rural and remote areas. However, the countries continue to strugglewith implementing self-sufficiency policies to build the capacity to meet needs. Such policies includepromotion plans, nonmonetary incentives, and personnel for recruitment and eventual placement.•• Regulation: The countries are working to reduce precarious and unprotected employment, introducesafety policies to decrease occupational diseases and workplace accidents, and enact legislation toresolve disputes.•• Performance: Mixed results have been achieved in health outcomes, access and availability, quality ofcare and patient satisfaction, professional practice, and productivity and efficiency. |
| Databáze: | eBook Index |
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