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Health Professional Education And Universal Health Coverage: A Summary Of Challenges And Selected Case Studies. | LitMetric

Health Professional Education And Universal Health Coverage: A Summary Of Challenges And Selected Case Studies.

Health Aff (Millwood)

Ara W. Darzi is executive chair of the World Innovation Summit for Health, Qatar Foundation, and director of the Institute of Global Health Innovation, Imperial College London.

Published: November 2017

AI Article Synopsis

  • * Three innovative initiatives are highlighted: training and retaining doctors in rural Thailand, training community health workers in Brazil, and introducing a postgraduate diploma for nurses in India, all aimed at aligning workforce training with health needs.
  • * While positive outcomes like improved doctor retention in rural areas and reduced child mortality in Brazil have been observed, more research is necessary to ensure the long-term retention of healthcare workers and the effectiveness of training programs.

Article Abstract

Low- and middle-income countries are experiencing serious shortages in meeting health workforce requirements for universal health coverage. We examine how national-level policies can address these deficiencies and support the development of an appropriately skilled health workforce in line with population needs. We discuss three innovative, government-led solutions that are designed to align health workforce training with the demands of universal health coverage. Specifically, we discuss two initiatives to train and retain doctors in rural areas of Thailand, the large-scale training of community health workers within multidisciplinary primary health care teams in Brazil, and the introduction of a postgraduate diploma program in primary care for nurses in India. Several positive outcomes have been associated with these initiatives, including improvements in the rural retention of doctors in Thailand and reductions in infant and child mortality rates in Brazil. However, further research is needed to assess the impact of such initiatives on the long-term retention of workers-particularly doctors-and the adequacy of the training offered to lower-skilled workers to effectively plug medical personnel gaps. Systematic monitoring of program affordability and cost-effectiveness over time must be prioritized, alongside efforts to disseminate lessons learned.

Download full-text PDF

Source
http://dx.doi.org/10.1377/hlthaff.2017.0517DOI Listing

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