Health workforce contributions to health system development: a platform for universal health coverage

Tangcharoensathien, Viroj; Limwattananon, Supon; Suphanchaimat, Rapeepong; Patcharanarumol, Walaiporn; Sawaengdee, Krisada; Putthasri, Weerasak

doi:10.2471/blt.13.120774

Cited by 30 publications

(41 citation statements)

References 20 publications

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“…However, different provinces had quite different quantities and quality (See Additional le 1: Growth of the number of health workforce per 1000 population in China). Same results have also been found in other counties, namely the United Kingdom [8], Australia [9], Spain [10], Thailand [11], South African [12], Brazil [13], India [14], Indonesia [15], Cameroon [16]. Chen found that the highest growth rate of urban community health service was in Beijing, Shandong, and Zhejiang [17].…”

Section: Introductionsupporting

confidence: 62%

Spatio-temporal Clusters of Health Workforce Distribution in Sichuan Province, China: a county-level analysis

Zhang¹,

Ning²,

Xie³

et al. 2020

Preprint

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Background The health workforce is a key determinant in achieving health equity. As a southwestern province of China, Sichuan confronted with the geographical variation of health workforce in recent years. The misdistribution of health workforce in Sichuan is severe for its complex terrain, uneven population distribution and huge economic differences. The study of Sichuan province is of great significance to other regions of China. Methods This study applied time-series analysis, spatial autocorrelation and space-time scan analysis to explore and visualize the spatial changing patterns of different types of health workforce (health technicians, licensed doctors, registered nurses, pharmacists, technologists, and intern) at the municipal and county level in Sichuan. Results The box plots displayed the temporal trend of health workforce from 2009 to 2018 via the county-level data. All types of health workforce were in rising generally especially the registered nurses. The space-time analysis and Global Moran' I revealed the distinctive geographical clusters among all the counties. The local Moran' I detected that HH clusters mainly in the capital and some rich places of Sichuan, while some mountain areas in eastern Sichuan displayed LL clusters. Four main findings should be paid attention to the whole health workforce of Sichuan province had an upward trend. Comparing with other provinces, the growth rate also was in a high rank; the areas with the scarcest resources were eastern place, including areas of Tsinling Mountains, Yunnan-Guizhou Plateau, Hengduan Mountains and the transition zone of mountains and basins; misdistribution of health workforce had two levels, among the province and cities; the Qinghai Tibet Plateau has enough intern while being short of other health technicians. Conclusions The policies makers should pay more attention to the eastern Sichuan. As to the intern-related policies, the primary health tasks did not achieve, Qinghai Tibet Plateau areas needed to find practical ways to attract the interns

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Section: Introductionsupporting

confidence: 62%

Spatio-temporal Clusters of Health Workforce Distribution in Sichuan Province, China: a county-level analysis

Zhang¹,

Ning²,

Xie³

et al. 2020

Preprint

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show abstract

“…Targeted funding can support the effective development of human resources for health, but overlapping sources of funds creates the risk of undermining effective coordination. 6 The evidence suggests that sustained leadership in pursuing policy reforms and in coordinating the targeting of funds is more important than the production of planning and strategic documents; for example, over several political cycles the governments in Brazil 7 and Thailand 8 have been relatively successful in maintaining basic policy objectives, such as strengthening primary care, by creating sustained collaboration between min-istries, national agencies, and state and local authorities.…”

Section: Mobilizing Commitment and Supportmentioning

confidence: 99%

Developing the health workforce for universal health coverage

Cometto

Buchan

Dussault

2019

Bull. World Health Organ.

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“…Both the private and public sector healthcare workers receive training funding from the human resource development effort of the MOPH (Tangcharoensathien et al. ).…”

Section: Medical and Genetic Servicesmentioning

confidence: 99%