■巴勒斯坦过去几十年取得的重大卫生发展已经失去,特别是在加沙。这就需要从根本上进行卫生体制改革和重建,包括卫生工作人员。加强卫生工作人员队伍涉及基本要素:领导力,金融,政策,教育,伙伴关系,和管理。加沙当前前所未有的灾难和巴勒斯坦的整体不稳定表明,迫切需要重新思考和改革已经崩溃的卫生系统的所有支柱,包括劳动力。卫生劳动力认证和法规(HWAR)标准化了医疗保健评估,由于现有知识有限,代表了巴勒斯坦的一个重要研究领域。
■这项研究旨在增进对巴勒斯坦HWAR的了解,找出差距和弱点,从而增强HWAR的开发和优化。
■这项定性研究采用了归纳的方法来探索HWAR的景观。数据收集时间为2019年10月至11月,当时与专家进行了22次半结构化深度访谈,学者,领导人,和政策制定者故意从政府中挑选出来,学术界,和非政府组织部门。数据分析,即,主题和地面理论,使用Excel和MS程序执行。
■该研究表明,HWAR系统中缺乏透明的治理和无效的沟通。国家政策和方针有问题,HWAR机制断裂,需要改革。医护人员的执照取决于当地的教育,而对HWAR的监测和评估不足。一些机构坚持HWAR标准,然而,广泛的更新和应用是必要的。教育之间的协调,认证,实践部门是非系统的。人力资源充足,但是我们需要改善HWAR管理。运营和政治挑战限制了HWAR,导致关注可持续系统集成的即时响应。
■提高HWAR对巴勒斯坦至关重要,特别是在持续的冲突和人道主义危机导致整个卫生系统设施功能失调之后。需要跨部门的合作战略来改善治理和成果。促进学术界之间的战略对话至关重要,监管实体,和医疗保健提供商来增强HWAR系统。建议进一步研究HWAR的有效性。
UNASSIGNED: The significant health development achieved in Palestine last decades has been lost, in Gaza particularly. This requires fundamental health system reform and rebuilding, including health workforces. Strengthening health workforces involves essential elements: leadership, finance, policy, education, partnership, and management. The current unprecedented catastrophe in Gaza and overall instability in Palestine show the utmost necessity for rethinking and reforming all pillars of the already collapsed health system, including the workforce. Health Workforce Accreditation and Regulation (HWAR) standardizes healthcare evaluations, representing a critical research area in Palestine due to limited existing knowledge.
UNASSIGNED: This study aims to enhance understanding of the HWAR in Palestine, and identify gaps and weaknesses, thereby enhancing the HWAR\'s development and optimization.
UNASSIGNED: This qualitative study used an inductive approach to explore the landscape of HWAR. Data were collected from October to November 2019, when 22 semi-structured in-depth interviews - were conducted with experts, academics, leaders, and policymakers purposely selected from government, academia, and non-governmental organization sectors. Data analysis, namely, thematic and ground theory, was performed using Excel and MS programs.
UNASSIGNED: The study revealed an absence of transparent governance and ineffective communication within HWAR systems. National policies and guidelines are problematic, with HWAR mechanisms fractured and needing reform. Licensing for healthcare workers hinges on local education, while monitoring and evaluation of HWAR are deficient. Some institutions adhere to HWAR standards, yet widespread updates and applications are necessary. Coordination among educational, accreditation, and practice sectors is non-systematic. Adequate human resources exist, but we need to improve HWAR management. Operational and political challenges limit HWAR, leading to a focus on immediate responses over sustainable system integration.
UNASSIGNED: Boosting HWAR is critical for Palestine, especially after the ongoing conflict and humanitarian crisis that led to the dysfunction of the entire health system facilities. A collaborative strategy across sectors is needed to improve governance and outcomes. It is essential to foster strategic dialogue among academia, regulatory entities, and healthcare providers to enhance the HWAR system. Further study on HWAR\'s effectiveness is recommended.