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1.
Stud Health Technol Inform ; 264: 1145-1149, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438104

RESUMO

The Australian Health Information Workforce is a critical discipline in the health sector as the investment in digital technologies increases. Yet historically there was no standardized reporting about the workforce and its six professional areas: clinical coding, costing analysts, data analysts, health informaticians, health information managers and health librarians. This paper presents the findings from the inaugural Australian Health Information Workforce Census. Analysis of 1,596 responses indicates this is an aging (56.1% ≥45 years) workforce with a large (78.1%) female population. Working in permanent (82%), public hospital (72%) roles, in professional or managerial roles (84%). The majority (93.2%) of respondents hold a tertiary qualification in health information, one-quarter of these at masters or doctoral level. Fewer than 30% of respondents hold a health information credential from a professional or industry association. The data from the ongoing national census will inform workforce planning and enable forecasting of the future workforce needs.


Assuntos
Censos , Recursos Humanos , Adulto , Austrália , Feminino , Previsões , Mão de Obra em Saúde , Humanos , Masculino , Pessoa de Meia-Idade
2.
Stud Health Technol Inform ; 264: 1021-1025, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438079

RESUMO

The objective of this paper is to show how a simple but powerful simulation model can be build up using standard spreadsheet program and used to simulate future, needs and supply of physicians in order to inform policy makers at national level when deciding on enrollment to medical schools and immigration quotas for physicians. The Republic of Croatia is facing a serious shortage of physicians in the healthcare system and simulation results have shown that the gap between needs and supply will even increase if current enrollment qoutas to medical schools would persist. Increasing enrollment quotas, adjusting immigration policy, re-directing physicians from other professions to the healthcare system, task shift and skill mix options are just some of the measures needed to be taken promptly in order to prevent a huge deficit of physicians in the future. Simulation modeling is certainly a method for predicting changes within healthcare systems with a possibility to examine multiple different scenarios and suggest interventions.


Assuntos
Necessidades e Demandas de Serviços de Saúde , Médicos , Croácia , Assistência à Saúde , Humanos , Recursos Humanos
3.
Stud Health Technol Inform ; 264: 1273-1277, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438130

RESUMO

In a data driven environment, healthcare has seen ongoing digital transformation to meet both clinical and business needs. But, have the educational and functional requirements of the health informatics and information management (HIIM) workforce also adapted? This study examined the current employment opportunities in HIIM globally. Using 11 keywords generated from a literature review, postings on the job advertisement website Indeed™ for all available countries were analyzed. The results show that job postings tend to fall within 4 discrete categories: 1) health information technology; 2) health research; 3) health leadership and project management; and 4) health compliance. Data indicated a higher prevalence for certain areas by country. The findings from this study can inform HIIM educational providers about future skill requirements.


Assuntos
Gestão da Informação em Saúde , Informática Médica , Assistência à Saúde , Liderança , Recursos Humanos
4.
Stud Health Technol Inform ; 266: 44-50, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31397300

RESUMO

There has been no empirical evidence about the health informatics workforce in Australia produced in the last ten years. This study reports the findings from an analysis of a subset of the 2018 Australian Health Informatics Workforce Census data. Analysing 420 responses that were identified as the occupational group Health Informatics, the results indicate that whilst most of the workforce is classified as aged (>45 years), many respondents are still relatively early in their health informatics careers. Furthermore, most do not possess any formal education in health informatics and almost a quarter undertake their health informatics role alongside another health-related role. The broad range of position titles and functions demonstrates the breadth within this workforce. Ongoing monitoring of this occupational group is required to inform workforce reform and renewal.


Assuntos
Censos , Informática Médica , Austrália , Mão de Obra em Saúde , Recursos Humanos
5.
Lancet ; 394(10197): 453-454, 2019 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-31402015
9.
Am Surg ; 85(6): 638-644, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31267906

RESUMO

As the roles of trauma/acute care surgeons continue to evolve, it is imperative that health-care systems adapt to meet workforce needs. Tailoring retention strategies that elicit workforce satisfaction ensure continued coverage that is mutually beneficial to surgeons and health-care systems. We sought to elicit factors related to career characteristics and expectations of the trauma/acute care surgery (ACS) workforce to assist with such future progress. In this study, 1552 Eastern Association for the Surgery of Trauma members were anonymously surveyed. Data collected included demographics, career expectations, and motivators of trauma/ACS. Four hundred eight (26%) Eastern Association for the Surgery of Trauma members responded. Respondents were 78 per cent male and had a median age of 47.3 years. Forty-six per cent of surgeons reported earning $351K-$475K and 23 per cent >$475K. At this point in their career, 49 per cent of surgeons felt quality of life was "most important", followed by 31 per cent career ambitions and 13 per cent salary. Prominent career satisfiers were patient care and teaching. Greatest detractors were burnout, bureaucracy, and work environment. Eighty per cent would change jobs in the final 10 years of practice, 31 per cent because of family/retirement, 29 per cent because of professional growth, 24 per cent because of workload, and 7 per cent because of salary. This study could be used to help develop trauma/ACS workforce strategies. This workforce remains mobile into late career; personal happiness and patient ownership overshadow financial rewards, and most prefer a total and shared patient care model compared with no patient ownership. Burnout, bureaucracy, and work environment are dominant detractors of job satisfaction among surveyed trauma/ACS surgeons.


Assuntos
Qualidade de Vida , Cirurgiões/psicologia , Inquéritos e Questionários , Recursos Humanos , Ferimentos e Lesões/cirurgia , Adulto , Fatores Etários , Atitude do Pessoal de Saúde , Esgotamento Profissional , Escolha da Profissão , Compreensão , Serviços Médicos de Emergência/métodos , Pesquisas sobre Serviços de Saúde , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Medição de Risco , Fatores Sexuais , Estados Unidos , Carga de Trabalho
10.
Lima; Perú. Ministerio de Salud; 20190700. 14 p. tab.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1005707

RESUMO

Contribuir al cumplimiento de los principios de bioseguridad y los lineamientos de vigilancia, prevención y control de las infecciones asociada a la atención de la salud; así como a la adecuada identificación del personal de la salud por parte de los usuarios de los servicios, al estandarizar la indumentaria de trabajo del personal técnico y auxiliar asistencial de la salud de las entidades conformantes del Sector Salud.


Assuntos
Vestuário , Normas Técnicas , Instalações de Saúde , Recursos Humanos
11.
Gan To Kagaku Ryoho ; 46(Suppl 1): 39-42, 2019 May.
Artigo em Japonês | MEDLINE | ID: mdl-31189849

RESUMO

Palliative care for cancer patients requires information sharing, including prognoses, to fulfill the wishes of the patient and patient's family as well as to avoid wasting time. It is necessary to recognize the importance of the pre-discharge conference and home medical care to realize the wishes of the patient and the patient's family.


Assuntos
Serviços de Assistência Domiciliar , Cuidados Paliativos , Médicos , Humanos , Alta do Paciente , Recursos Humanos
13.
Nat Biotechnol ; 37(6): 571, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31164745

RESUMO

Systematic gathering of detailed demographic data on the workforce is needed to ensure continued progress in diversifying biotech.


Assuntos
Biotecnologia/tendências , Demografia/estatística & dados numéricos , Recursos Humanos/estatística & dados numéricos , Humanos
14.
J Emerg Manag ; 17(3): 199-209, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31245830

RESUMO

INTRODUCTION: From 2009 to 2016, the Centers for Disease Control and Prevention (CDC) activated its Incident Management System for a public health emergency 91 percent of the time. The CDC must ensure its workforce is prepared for the evolving nature of emergencies. OBJECTIVES: The purpose of this assessment was to identify perceived preparedness and response training needs for the CDC responder workforce. METHODS: Between November 2012 and January 2013, focus groups and in-depth interviews were conducted with CDC responders, including senior leaders. The evaluation questions were: (1) How well does the current training system prepare CDC staff to respond to emergency events? (2) What gaps exist in the current training system? and (3) What trainings are essential and should be included in the training system? RESULTS: Eight focus groups were conducted with 51 responders and 18 interviews with response leaders. Themes were identified for each main outcome measure and translated to training improvements. CONCLUSIONS: The CDC workforce received foundational training. Recommendations are provided to better prepare responders during an emergency. Periodic assessments are necessary to expand training and remain responsive to the complexities of emerging threats.


Assuntos
Emergências , Saúde Pública , Recursos Humanos , Centers for Disease Control and Prevention (U.S.) , Humanos , Estados Unidos
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(6): 726-730, 2019 Jun 10.
Artigo em Chinês | MEDLINE | ID: mdl-31238627

RESUMO

Objective: To assess the follow-up situstion and changes of policies related to the prevention and control on chronic non-communicable diseases (NCDs), in various provinces from 2011 to 2017. Methods: Three national assessment programs on the prevention and control capacity of NCDs were carried out from September 2012 to March 2013, September 2014 to March 2015, and July to November 2018 respectively. Data related to the capacity on policy implementation among the 31 provinces, autonomous regions, municipality directly under the central government and Xinjiang Production and Construction Corps, were collected through online surveys. Results: The rate of data collection in all the provinces reached 100%, for all three surveys. In 2011, 2013, and 2017, the capacity for policy development special funding was distributed for prevention and control NCDs under the provincial fiscal revenue by 27 provinces (84.4%), 26 provinces (81.3%) and 25 provinces (78.1%), and the numbers of provincial governments leaders attended the local activities related to prevention and control NCDs was 15 (46.9%), 13 (40.6%) and 19(59.4%), respectively. From 2009 to 2011, 14 (43.8%) proposals related to the topics on prevention and control of NCDs, were raised at the provincial People's Congress and Political Consultative Conference, while from 2011 to 2013 and2014 to 2017, 13 (40.6%) and 12 (37.5%) were respectively raised. In terms of capacity for policy development, numbers of provincial comprehensive plan which targeting prevention and control of NCDs reached 6 (18.8%), 20 (62.5%) and 27 (84.4%) in 2011, 2013, and 2017 respectively. In 2011, 2013 and 2017, numbers of provincial special plans that targeting on NCDs or the risk factors of NCDs prevention and control were 0, 1, and 3, respectively. Conclusions: Under the continuous introduction of international and national policies related to prevention and control on NCDs, capacity for policy formulation in various provinces has been greatly improved. However, a slight progress has been made in the capacity for policy making. The increase of capacity building on policy making regarding prevention and control of NCDs, at the provincial government level, has become a key issue.


Assuntos
Doença Crônica/prevenção & controle , Serviços de Saúde Comunitária/organização & administração , Organizações de Planejamento em Saúde/organização & administração , Política de Saúde , Doenças não Transmissíveis/prevenção & controle , Recursos Humanos/tendências , China , Humanos , Fatores de Risco , Inquéritos e Questionários
18.
Glob Health Action ; 12(1): 1609825, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31117889

RESUMO

Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century, but its public health workforce is still inadequate in number and competency. Objectives: To reinforce implementation of priority public health programs in Uganda and cultivate core capacities for compliance with International Health Regulations. Methods: To develop a competent workforce to manage epidemics and improve disease surveillance, Uganda Ministry of Health (MoH) established an advanced-level Field Epidemiology Training Program, called Public Health Fellowship Program (PHFP); closely modelled after the US CDC's Epidemic Intelligence Service. PHFP is a 2-year, full-time, non-degree granting program targeting mid-career public health professionals. Fellows spend 85% of their field time in MoH placements learning through service delivery and gaining competencies in major domains. Results: During 2015-2018, PHFP enrolled 41 fellows, and graduated 30. Fellows were placed in 19 priority areas at MoH and completed 235 projects (91 outbreaks, 12 refugee assessments, 50 surveillance, and 60 epidemiologic studies, 3 cost analysis and 18 quality improvement); made 194 conference presentations; prepared 63 manuscripts for peer-reviewed publications (27 published as of December 2018); produced MoH bulletins, and developed three case studies. Projects have resulted in public health interventions with improvements in surveillance systems and disease control. Conclusion: During the 4 years of existence, PHFP has contributed greatly to improving real-time disease surveillance and outbreak response core capacities. Enhanced focus on evidence-based targeted approaches has increased effectiveness in outbreak response and control, and integration of PHFP within MoH has contributed to building a resilient and sustainable health system in Uganda.


Assuntos
Assistência à Saúde/organização & administração , Bolsas de Estudo/organização & administração , Administração em Saúde Pública/métodos , Recursos Humanos/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Uganda , Adulto Jovem
19.
World J Pediatr Congenit Heart Surg ; 10(3): 321-327, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31084310

RESUMO

BACKGROUND: Cardiovascular disease is the number one global killer, with over three quarters of these deaths arising from the populations of low- and middle-income countries (LMICs). Addressing the burden of cardiovascular disease in LMICs must include medical and surgical services for these patients. In this article, we model the needs and costs to scale up the cardiac provider workforce in Kenya, which can be adapted to other LMICs based on country-specific workforce hours and workforce salaries. METHODS: Using published epidemiological reports from sub-Saharan Africa, we structured the model based on the expected disease burden of congenital and rheumatic disease in a simulated 1,000-person population. Services modeled include clinic visits, echocardiograms, diagnostic cardiac catheterizations, interventional catheterizations, and heart surgery. Costs were modeled based on Kenyan public sector salaries. After scaling the model, we created a sensitivity analysis of change in service duration and salaries. RESULTS: Based on a 1,000-person Kenyan population, we estimate that 2.5 heart surgeries will be needed every year, with a corresponding annual workforce cost of US$526. Including accompanying services of clinic visits, echocardiograms, and both diagnostic and interventional cardiac catheterizations, the total annual workforce cost is US$899. Based on estimated productive hours for public sector workforce, 196 full-time equivalent cardiac surgeons will be needed for the entire population of Kenya (2017 figure). CONCLUSIONS: We present a model for appropriate cardiovascular service staffing based on disease burden and workforce costs. This model can be scaled up as needed to plan for local capacity building.


Assuntos
Custos de Cuidados de Saúde , Cardiopatias Congênitas/terapia , Cardiopatia Reumática/terapia , Recursos Humanos/economia , Custos e Análise de Custo , Cardiopatias Congênitas/economia , Humanos , Quênia , Cardiopatia Reumática/economia
20.
J Ayub Med Coll Abbottabad ; 31(2): 252-254, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31094127

RESUMO

Metabolic syndrome (MetS) is clustering of various cardiometabolic risk factors and it increases the risk of cardiovascular diseases and diabetes. Unhealthy lifestyle predisposes employees to increased risk of MetS. This systematic review was conducted to investigate the prevalence of MetS and its associated factors among working population. Studies published in English during 2005-2017 on the prevalence of MetS in workforce were searched. MetS was defined using Adult Treatment Panel-III criteria and searches were carried out in various databases using keywords for titles and/or abstracts. Forty articles, containing 435,013 participants aged 38.5 (18-64) years, were finally included. Overall average prevalence of MetS was 21.7% (6.1-58%). Average prevalence of MetS was higher in males (21.9%) than in females (14.1%). Region-wise prevalence of MetS was 27.93% in North America, 27.65% in South America, 21.27% in Asia, 16.04% in Africa, and 10.47% in Europe. Mean prevalence of each component of MetS was 39.1% for low HDL, 33.7% for hypertension, 30.8% for hypertriglyceridemia, 29.2% for central obesity, and 17.6% for hyperglycaemia. Major factors associated with MetS were male gender, aging, inactivity, smoking, stress, elevated liver enzymes, higher education, longer work experience, alcohol abuse, shift work, and lower fruit intake. Prevalence of MetS among workforce was high and it decreases work performance and increases personal and corporate health-care cost. Employees are suggested to enhance physical activity and adopt healthy lifestyle. Employers may increase the cardiometabolic health of their employees by increasing awareness, routine screening for MetS, and by providing various health promotion programs at the worksite.


Assuntos
Síndrome Metabólica/epidemiologia , Recursos Humanos/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Hiperglicemia/epidemiologia , Hipertensão/epidemiologia , Hipertrigliceridemia/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Adulto Jovem
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