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Barriers to interventions aimed at promoting the health of health care workers in Brazil

REINHARDT, Erica Lui; FISCHER, Frida Marina
Fonte: PAN AMER HEALTH ORGANIZATION Publicador: PAN AMER HEALTH ORGANIZATION
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.14%
Objective. To search the literature for circumstances that impede injury and disease prevention and other activities intended to improve the health of the health care worker. Methods. The SciELO database was searched for articles published in 1967-2008. This was supplemented by a PubMed search for the period 1950-2008. The following key words were used to identify articles in English, Portuguese, and Spanish: work, health personnel, occupational, risks, diseases, ergonomics, work ability, quality of life, organization, accidents, work conditions, intervention, and administration. Articles on injury and disease prevention and occupational health in a health care setting in Latin America were selected, along with articles focused on health promotion in the health sector. Results. The following shortcomings were identified: activities lacked a sound theoretical foundation and were not integrated with the health services management; a failure to evaluate the effectiveness of the activity; health surveillance focused solely on a specific disease or injury; management not committed to the proposed activity; miscommunication; inability of workers to participate, or control the work environment; and, programs or efforts that were limited to changing the workers` behaviors. Conclusions. The literature shows that all the barriers identified by this study affect both the health care workers` health as well as their productivity.

North Korean defectors seeking health certification to take the national medical licensing examination in the Republic of Korea: figures and procedures

Kim, Yoon Hee
Fonte: National Health Personnel Licensing Examination Board of the Republic of Korea Publicador: National Health Personnel Licensing Examination Board of the Republic of Korea
Tipo: Artigo de Revista Científica
Publicado em 01/12/2012 EN
Relevância na Pesquisa
56.12%
In May 2011, the Ministry of Unification of the Republic of Korea (Korea) announced that 21,165 defectors from Democratic People’s Republic of Korea (North Korea) had settled in Korea. Since healthcare workers are counted among these defectors, it is necessary to provide them with a pathway to certification to work in Korea. This report summarizes the vetting and approval process defectors from North Korea must pass through to be eligible to take the national medical licensing examination. Defectors must pass an oral test conducted by the National Health Personnel Licensing Examination Board to be eligible to sit for the exam. From 2002 to August 2011, 41 North Korean defectors applied for the approval process to take the exam. Twenty-nine were approved (70.7%): 23 physicians, 1 dentist, 2 oriental medical doctor, 1 nurse, and 2 pharmacists. Out of 29 approved, 11 passed the licensing examination (39.3%). This report also highlights the difficulty in assessing North Korean defectors’ eligibility by oral test, and suggests that adequate competency should be emphasized to recognize their unique abilities as healthcare personnel.

Empirical Impact Evaluation of the WHO Global Code of Practice on the International Recruitment of Health Personnel in Australia, Canada, UK, and USA

Edge, Jennifer S; Hoffman, Steven Justin
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
56.12%
Background: The active recruitment of health workers from developing countries to developed countries has become a major threat to global health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for health worker recruitment, its impact has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant health workers. Methods: 42 key informants from across government, civil society and private sectors were surveyed to measure their awareness of the Code, knowledge of specific changes resulting from it, overall opinion on the effectiveness of non-binding codes, and suggestions to improve this Code’s implementation. Results: 60% of respondents believed their colleagues were not aware of the Code, and 93% reported that no specific changes had been observed in their work as a result of the Code. 86% reported that the Code has not had any meaningful impact on policies...

Health professionals' knowledge, practice and opinions about fetal alcohol syndrome and alcohol consumption in pregnancy

Payne, J.; Elliott, E.; D'Antoine, H.; O'Leary, C.; Mahony, A.; Haan, E.; Bower, C.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
55.95%
OBJECTIVE: To measure the knowledge, attitudes and practices of health professionals regarding fetal alcohol syndrome (FAS) and alcohol use during pregnancy. METHOD: A postal survey of a representative random sample of health professionals was conducted in Western Australia (WA) in 2002/03. 1,143 (79%) of 1,443 eligible health professionals completed the survey (87 Aboriginal Health Workers, 286 allied health professionals, 537 community nurses, 170 general practitioners and 63 obstetricians). RESULTS: Of 1,143 health professionals, 12% identified all four essential diagnostic features of FAS. Most (95%) had never diagnosed FAS. Although 82% believed that making a diagnosis of FAS might improve treatment plans and 85% agreed FAS was preventable, 53% said the diagnosis might be stigmatising. Only 2% felt very prepared to deal with FAS and most wanted information for themselves and their clients. Of the 659 health professionals caring for pregnant women, only 45% routinely ask about alcohol use in pregnancy, only 25% routinely provide information on the consequences of alcohol use in pregnancy and only 13% provide advice consistent with NHMRC guidelines on alcohol consumption in pregnancy. CONCLUSION: Health professionals have identified the need for educational materials for themselves and their clients. IMPLICATIONS: FAS is likely to be under-ascertained in Australia due to a lack of knowledge of FAS by health professionals. Until this lack of knowledge is addressed...

Investigação da fadiga e/ou satisfação por compaixão em profissionais da saúde nas práticas de controle de infecções relacionadas à assistência à saúde; Investigation of fatigue and/or satisfaction compassion in health care professionals on the health care infection control practices

Souza, Claudia Gesserame Vidigal Mendes de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 31/07/2015 PT
Relevância na Pesquisa
56.13%
Introdução: Esta pesquisa é um recorte do projeto de pesquisa INVESTIGAÇÃO DAS DIFICULDADES HUMANAS DE PROFISSIONAIS DE SAÚDE NAS PRÁTICAS DE CONTROLE DE INFECÇÃO RELACIONADA À ASSISTÊNCIA À SAÚDE. Parte da hipótese de que o sofrimento decorrente da condição que um profissional de assistência à saúde (PAS) tem de se envolver emocionalmente e afetivamente ao sofrimento e às dores dos pacientes a quem prestam assistência possa ser a principal causa da não adesão às práticas de controle de infecções relacionadas à assistência à saúde (IRAS) e a responsável por fazer com que eles se descuidem, colocando a vida do paciente e a deles própria em risco de morte uma vez que o sofrimento decorrente dessa condição interfere em seus trabalhos, aumentando a possibilidade de erros e de não adesão, colaborando, assim, para a sua transmissão. As manifestações decorrentes da condição de envolvimento emocional e afetivo de um PAS ao sofrimento e às dores de seus pacientes vêm recebendo diversas nomeações e definições, como Fadiga e/ou Satisfação por Compaixão. Objetivos: investigar: a) se PAS de Unidades de Terapia Intensiva (UTIs) apresentam sofrimento decorrente da condição de envolvimento emocional e afetivo ao sofrimento e às dores dos pacientes a quem prestam assistência...

A prevalência da síndrome de Burnout em profissionais da saúde trabalhadores de um hospital oncohematológico infantil na cidade de Campinas/SP; The prevalence of Burnout syndrome among health professionals of child oncohematology hospital in Campinas / SP

Aline Bedin Zanatta
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 18/02/2013 PT
Relevância na Pesquisa
56.09%
O trabalho tem importância fundamental na vida das pessoas, e cada vez mais se investe tempo e esforços em função do mesmo. Porém, da mesma forma que o trabalho confere dignidade e realização pessoal, também pode ser fonte de desgaste, sofrimento físico e mental. As profissões da saúde são particularmente afetadas por diversas situações de estresse e desgaste, por lidarem diariamente com pacientes debilitados, situações de doença, relações interpessoais e hierárquicas nas instituições de trabalho. Esta pesquisa observacional, de corte transversal, teve por objetivo identificar a prevalência da Síndrome de Burnout na equipe de saúde. A investigação foi desenvolvida no Centro Infantil Dr. Domingos A. Boldrini, que é um hospital oncohematológico infantil localizado na cidade de Campinas/SP. O critério para seleção desse hospital foi por sua importância da instituição como referência internacional do tratamento de câncer infantil, bem como verificar a prevalência da síndrome de Burnout na equipe de saúde que trabalha em um contexto específico e singular, que é o cuidado oncohematológico infantil. Para investigar a Síndrome de Burnout, as informações foram coletadas através do Maslach Burnout Inventory (MBI). Para a coleta das informações sociodemográficas...

Legislative knowledge and preparation of health personnel for the care process of death; Conocimiento de la ley y preparación del personal sanitario sobre el proceso asistencial de la muerte; Conhecimento em legislação e preparação dos profissionais de saúde sobre o processo de cuidado da morte

Torres-Mesa, Luisa María; Schmidt-Riovalle, Jacqueline; García-García, Inmaculada
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf; application/pdf
Publicado em 01/04/2013 SPA; ENG
Relevância na Pesquisa
56.02%
The aims of this study were to ascertain the perception that health professionals (doctors, nurses and nursing assistants) have about their preparation for the care of terminally ill patients and to determine their knowledge about palliative care legislation. This cross sectional study was performed at a hospital in Granada (Spain); we administered an ad hoc questionnaire. The results indicated that although most of the staff had worked with terminally ill patients, only half believed that they have been trained to care for them. A significant proportion stated that they did not know about the current palliative care legislation. Most professionals would question the withdrawal of therapies for the maintenance of life; most of them are also unaware of the mechanism for reporting on the completion of a Living Will, as well as a Plan for Palliative Care in Andalusia (Spain).; Os objetivos deste estudo são determinar a percepção que os profissionais de saúde (médicos, enfermeiros e auxiliares de enfermagem) têm sobre a sua preparação sobre o cuidado dos doentes terminais e determinar seu conhecimento da legislação sobre cuidados paliativos. Realizou-se um estudo transversal em um hospital em Granada (Espanha), através da aplicação de um questionário ad hoc. Os resultados mostram que a maioria do pessoal trabalha com pacientes no fim de sua vida...

Ocorrência de acidente de trabalho por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da saúde de um hospital escola de Brasília; Frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes y fluidos biológicos entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia; Occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel in a Brasília university hospital

Shimizu, Helena Eri; Ribeiro, Emílio José Gonçalves
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; Formato: application/pdf
Publicado em 01/12/2002 POR
Relevância na Pesquisa
66.14%
estudo teve por objetivo verificar e analisar a ocorrência de acidentes de trabalho causados por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da área da saúde. Foi realizado em um hospital-escola de Brasilia. A coleta de dados foi feita a partir dos registros de acidentes de trabalho mantidos pela Comissão de Controle de Infecção Hospitalar e referentes ao período de agosto de 1998 a junho de 2000. Verificou-se que 117 pessoas sofreram acidentes de trabalho, em sua grande maioria causados por agulhas. Concluiu-se que existe a necessidade de melhoria nos sistemas de prevenção de acidentes na instituição.; El objetivo del estudio fue el de verificar y analizar la frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia. Los datos, recogidos de los registros de accidentes del trabajo de la Comisión de Control de Infección Hospitalaria, corresponden al periodo entre agosto de 1998 y junio de 2000. Se verifico que 117 personas sufrieron accidentes del trabajo, en su gran mayoría causados por agujas. Se llegó a la conclusión de que es necesario mejorar el sistema de prevención de accidentes en dicha institución.; The objective of the study was to check and analyze the occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel. It was carried out in a Brasilia university hospital. The data were collected from records of work accidents kept by the Hospital Infection Control Committee...

O emprego de auxiliares de saúde em áreas em desenvolvimento: breve histórico; Use of auxiliary public health personnel in developing areas: a brief historical approach

Tornero, Nilton
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/09/1979 POR
Relevância na Pesquisa
66.14%
A utilização de auxiliares de saúde como uma medida que pode melhorar a cobertura sanitária principalmente dos países ditos em desenvolvimento, foi analisada sob o ponto de vista histórico, com a finalidade de mostrar que as razões pelas quais os auxiliares de saúde são introduzidos nos diversos países são diferentes e não direcionados pelos mesmos propósitos. Procurou-se discutir, sucintamente, alguns exemplos ilustrativos. Na URSS os auxiliares de saúde ("feldshers") existem como parte integrante da atenção sanitária, desde o século XVIII; hostilizados inicialmente pela Revolução Socialista, foram considerados a seguir como o alicerce do sistema sanitário. Na África e Ásia foram julgados como um dos produtos do colonialismo europeu. Na China - experiência recente em grande escala - acompanharam as mudanças radicais ocorridas naquele país. Se o emprego dos auxiliares é recomendado principalmente para os países em desenvolvimento, o que se verificou é que na prática 83,1% das escolas de nível secundário catalogadas estão em países desenvolvidos, detendo o maior número de alunos.; A study of the use of auxiliary public health personnel in some developing countries areas of the world concludes that the factors which prescribe this practice vary according to the politics dominant at the time.

The implications of health sector reform for human resources development

Alwan,Ala'; Hornby,Peter
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2002 EN
Relevância na Pesquisa
55.95%
The authors argue that "health for all" is not achievable in most countries without health sector reform that incorporates a process of coordinated health and human resources development. They examine the situation in countries in the Eastern Mediterranean Region of the World Health Organization. Though advances have been made, further progress is inhibited by the limited adaptation of traditional health service structures and processes in many of these countries. National reform strategies are needed. These require the active participation of health professional associations and academic training institutions as well as health service managers. The paper indicates some of the initiatives required and suggests that the starting point for many countries should be a rigorous appraisal of the current state of human resources development in health.

Migration of health-care workers from developing countries: strategic approaches to its management

Stilwell,Barbara; Diallo,Khassoum; Zurn,Pascal; Vujicic,Marko; Adams,Orvill; Dal Poz,Mario
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2004 EN
Relevância na Pesquisa
56.1%
Of the 175 million people (2.9% of the world's population) living outside their country of birth in 2000, 65 million were economically active. The rise in the number of people migrating is significant for many developing countries because they are losing their better-educated nationals to richer countries. Medical practitioners and nurses represent a small proportion of the highly skilled workers who migrate, but the loss for developing countries of human resources in the health sector may mean that the capacity of the health system to deliver health care equitably is significantly compromised. It is unlikely that migration will stop given the advances in global communications and the development of global labour markets in some fields, which now include nursing. The aim of this paper is to examine some key issues related to the international migration of health workers and to discuss strategic approaches to managing migration.

Management of severely ill children at first-level health facilities in sub-Saharan Africa when referral is difficult

Simoes,Eric A.F.; Peterson,Stefan; Gamatie,Youssouf; Kisanga,Felix S.; Mukasa,Gelasius; Nsungwa-Sabiiti,Jesca; Were,M. Wilson; Weber,Martin W.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 EN
Relevância na Pesquisa
66.12%
OBJECTIVES: To quantify the main reasons for referral of infants and children from first-level health facilities to referral hospitals in sub-Saharan Africa and to determine what further supplies, equipment, and legal empowerment might be needed to manage such children when referral is difficult. METHODS: In an observational study at first-level health facilities in Uganda, the United Republic of Tanzania, and Niger, over 3-5 months, we prospectively documented the diagnoses and severity of diseases in children using the standardized Integrated Management of Childhood Illness (IMCI) guidelines. We reviewed the facilities for supplies and equipment and examined the legal constraints of health personnel working at these facilities. FINDINGS: We studied 7195 children aged 2-59 months, of whom 691 (9.6%) were classified under a severe IMCI classification that required urgent referral to a hospital. Overall, 226 children had general danger signs, 292 had severe pneumonia or very severe disease, 104 were severely dehydrated, 31 had severe persistent diarrhoea, 207 were severely malnourished, and 98 had severe anaemia. Considerably more ill were 415 young infants aged one week to two months: nearly three-quarters of these required referral. Legal constraints and a lack of simple equipment (suction pumps...

Skill mix in the health care workforce: reviewing the evidence

Buchan,James; Dal Poz,Mario R.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2002 EN
Relevância na Pesquisa
66.27%
This paper discusses the reasons for skill mix among health workers being important for health systems. It examines the evidence base (identifying its limitations), summarizes the main findings from a literature review, and highlights the evidence on skill mix that is available to inform health system managers, health professionals, health policy-makers and other stakeholders. Many published studies are merely descriptive accounts or have methodological weaknesses. With few exceptions, the published analytical studies were undertaken in the USA, and the findings may not be relevant to other health systems. The results from even the most rigorous of studies cannot necessarily be applied to a different setting. This reflects the basis on which skill mix should be examined - identifying the care needs of a specific patient population and using these to determine the required skills of staff. It is therefore not possible to prescribe in detail a "universal" ideal mix of health personnel. With these limitations in mind, the paper examines two main areas in which investigating current evidence can make a significant contribution to a better understanding of skill mix. For the mix of nursing staff, the evidence suggests that increased use of less qualified staff will not be effective in all situations...

When staff is underpaid: dealing with the individual coping strategies of health personnel

Van Lerberghe,Wim; Conceição,Claudia; Van Damme,Wim; Ferrinho,Paulo
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2002 EN
Relevância na Pesquisa
66.14%
Health sector workers respond to inadequate salaries and working conditions by developing various individual "coping strategies" - some, but not all, of which are of a predatory nature. The paper reviews what is known about these practices and their potential consequences (competition for time, brain drain and conflicts of interest). By and large, governments have rarely been proactive in dealing with such problems, mainly because of their reluctance to address the issue openly. The effectiveness of many of these piecemeal reactions, particularly attempts to prohibit personnel from developing individual coping strategies, has been disappointing. The paper argues that a more proactive approach is required. Governments will need to recognize the dimension of the phenomenon and systematically assess the consequences of policy initiatives on the situation and behaviour of the individuals that make up their workforce.

Evidence-based reproductive health care in Cameroon: population-based study of awareness, use and barriers

Tita,Alan TN; Selwyn,Beatrice J; Waller,D Kim; Kapadia,Asha S; Dongmo,Sylvestre
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2005 EN
Relevância na Pesquisa
55.95%
OBJECTIVE: To estimate the prevalence of awareness and use of evidence-based reproductive health interventions and to describe the barriers associated with the use of evidence-based interventions among health providers in north-west Cameroon. METHODS: In February 2004, a population-based descriptive study of the awareness and use of 13 evidence-based interventions targeted health workers providing reproductive health care. Their awareness and use of a composite of four vital interventions was also evaluated. These were peripartum use of antiretrovirals to prevent transmission of HIV, antenatal corticosteroid administration, magnesium sulfate prophylaxis and active management of placental delivery with uterotonics. In-depth interviews with key informants were conducted as part of a qualitative substudy to discover the barriers to the use of evidence-based interventions. FINDINGS: Overall, 91.4% (328/359) of reproductive health workers were surveyed. Their awareness of evidence-based interventions varied from 29% for the use of antenatal corticosteroids to 97% for the use of iron and folic acid supplementation during pregnancy. Their use of these interventions ranged from 10.2% for antenatal corticosteroids to 94.8% for iron and folic acid supplementation. Only 50/322 (15.5%; 95% confidence interval (CI) = 11.8-20.0) of health workers were aware of all four vital interventions...

Training Chilean primary health care professionals in nutrition for noncommunicable disease prevention

Keller,Ingrid; Legetic,Branka
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2004 EN
Relevância na Pesquisa
56.26%
OBJECTIVES: To assess three related issues: (1) the need for training in nutrition and prevention of noncommunicable diseases (NCDs) as perceived by primary health care (PHC) personnel in Chile, (2) those health workers' preferred sources of training to learn about that subject, and (3) reactions to some materials that were later developed to help meet the needs that were identified. METHODS: In the summer of 2001 a questionnaire survey was used with PHC staff members in 3 of Chile's 13 regions in order to evaluate their perceived need for training in nutrition and NCD prevention as well as their preferred sources of continuing education. As a follow-up to the 2001 survey, in 2002, information material was prepared on using diet and physical activity to prevent NCDs. The information package was introduced through a series of workshops in all the regions of Chile. An evaluation in 2003 assessed the reactions to the new material. RESULTS: Four hundred thirty-one valid questionnaires from the 2001 survey were analyzed. The participants reported a strong need for further education in the area of nutrition for NCD prevention. The perceived need for further training was highest among nursing aides, and it was lowest among nutritionists. Most of the health personnel reported that patients often asked them about dietary issues...

Immigrant health workers in Chile: is there a Latin American "brain drain"?

Cabieses,Baltica; Tunstall,Helena
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2012 EN
Relevância na Pesquisa
56.13%
Most research on the phenomenon of "brain drain" (one-way flow of highly skilled/educated individuals) has focused on movement between the least developed and most highly developed countries. Therefore, the significance of patterns of migration to middle-income countries such as those in Latin America is less clear. The aim of this study was to outline key features of international health worker "brain drain" to Chile to promote discussion and further research on this phenomenon as it pertains to the Latin American region. The study compared immigrant health workers living in Chile to both Chilean-born health workers and other immigrants living in Chile using a qualitative nationwide dataset (the results of Chile's 2009 National Socioeconomic Characterization Survey). Demographic, socioeconomic, and health-related variables were included in the analyses, which were weighted by population to obtain nationally representative estimates. In 2009, immigrant health workers represented 2.2% of all health personnel and 2.6% of all resident immigrants in the country. While most immigrant health workers had a universitylevel education, about 25% had only a high school-level education or less. There was no statistically significant difference between the distribution of immigrant health workers' household income and that of Chilean-born health workers. A significantly higher proportion of the immigrant group reported no entitlement to health care provision. While the results of this study do not indicate a significant international health worker "brain drain" to Chile...

Monitoring the implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel

Siyam,Amani; Zurn,Pascal; R,Otto Christian; Gedik,Gulin; Ronquillo,Kenneth; Co,Christine Joan; Vaillancourt-Laflamme,Catherine; Rosa,Jennifer dela; Perfilieva,Galina; Dal Poz,Mario Roberto
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2013 EN
Relevância na Pesquisa
56.27%
Objective To present the findings of the first round of monitoring of the global implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel (“the Code”), a voluntary code adopted in 2010 by all 193 Member States of the World Health Organization (WHO). Methods WHO requested that its Member States designate a national authority for facilitating information exchange on health personnel migration and the implementation of the Code. Each designated authority was then sent a cross-sectional survey with 15 questions on a range of topics pertaining to the 10 articles included in the Code. Findings A national authority was designated by 85 countries. Only 56 countries reported on the status of Code implementation. Of these, 37 had taken steps towards implementing the Code, primarily by engaging relevant stakeholders. In 90% of countries, migrant health professionals reportedly enjoy the same legal rights and responsibilities as domestically trained health personnel. In the context of the Code, cooperation in the area of health workforce development goes beyond migration-related issues. An international comparative information base on health workforce mobility is needed but can only be developed through a collaborative...

Ethical issues in health workforce development

Cash,Richard
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2005 EN
Relevância na Pesquisa
56.13%
Increasing the numbers of health workers and improving their skills requires that countries confront a number of ethical dilemmas. The ethical considerations in answering five important questions on enabling health workers to deal appropriately with the circumstances in which they must work are described. These include the problems of the standards of training and practice required in countries with differing levels of socioeconomic development and different priority diseases; how a society can be assured that health practitioners are properly trained; how a health system can support its workers; diversion of health workers and training institutions; and the teaching of ethical principles to student health workers. The ethics of setting standards for the skills and care provided by traditional health-care practitioners are also discussed.

Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania

Boller,Christoph; Wyss,Kaspar; Mtasiwa,Deo; Tanner,Marcel
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 EN
Relevância na Pesquisa
56.11%
OBJECTIVE: To compare the quality of public and private first-tier antenatal care services in Dar es Salaam, United Republic of Tanzania, using defined criteria. METHODS: Structural attributes of quality were assessed through a checklist, and process attributes, including interpersonal and technical aspects, through observation and exit interviews. A total of 16 health care providers, and 166 women in the public and 188 in the private sector, were selected by systematic random sampling for inclusion in the study. Quality was measured against national standards, and an overall score calculated for the different aspects to permit comparison. FINDINGS: The results showed that both public and private providers were reasonably good with regard to the structural and interpersonal aspects of quality of care. However, both were poor when it came to technical aspects of quality. For example, guidelines for dispensing prophylactic drugs against anaemia or malaria were not respected, and diagnostic examinations for the assessment of gestation, anaemia, malaria or urine infection were frequently not performed. In all aspects, private providers were significantly better than public ones. CONCLUSION: Approaches to improving quality of care should emerge progressively as a result of regular quality assessments. Changes should be introduced using an incremental approach addressing few improvements at a time...