Global shortage of health workers threatens effective health insurance

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According to a new peer-reviewed study by the Institute for Health Metrics (IHME) at the University of Washington School of Medicine, more than 43 million additional healthcare professionals are needed to reach universal health care goals around the Lancet.. The largest gaps were observed in sub-Saharan Africa, South Asia, North Africa and the Middle East.

“These are the most comprehensive estimates of healthcare professionals in the world to date,” said Dr. Rafael Rosano, senior author and director of medical systems at IHME. “Healthcare professionals Medical system, And it is very important that these data be available so that countries can make informed decisions and plan for the future. “

Researchers examined the deficiencies in four categories: doctors, nurses, midwives, dentists, and pharmaceutical companies. In 2019, it was estimated that there was a shortage of doctors in more than 130 countries and a shortage of nurses and midwives in more than 150 countries.When comparing the current levels of Health care workers To the minimum level required to meet the goal score of 80 Universal insurance In the (UHC) Effective Service Coverage Index, researchers estimated a shortage of more than 43 million health care workers, including 30.6 million nurses and midwives, and 6.4 million doctors.

“The density of health care workers is at the social level of the country. Economic developmentDr. Annie Haakenstad, Associate Professor of Health Metrics Sciences at IHME, the lead author, said: We hope that these estimates will help you prioritize policy interventions and inform future plans. “

The study found that there was a more than 10-fold difference in the density of healthcare workers across and within the region in 2019. Densities range from 2.9 doctors per 10,000 in sub-Saharan Africa to Central Europe, Eastern Europe, and Central Asia. Cuba also stands out, with a density of 84.4 per 10,000 compared to 2.1 in Haiti.

Similar disparities were observed in the measurement of the number of nurses and midwives, with a density of 152.3 per 10,000 in Australasia and 37.4 per 10,000 in southern Latin America. Despite the steady increase in health care workers between 1990 and 2019, the gap continued.

Researchers cited existing literature highlighting the factors that contribute to worker Healthcare workers migration, war, Political instability, Violence against health care workers, and inadequate incentives for training and maintenance. They said high-income locations should follow WHO guidelines for responsible recruitment of health personnel to avoid contributing to the labor gap in low-income areas.

These findings show how unprepared the world was when the COVID-19 pandemic struck the world and burdened the healthcare system, which was already lacking important frontline workers. I am. Obtaining these quotes today will help policy makers, hospitals, and clinics prepare for future pandemics by focusing attention on training and recruitment. The authors also state that there is still much to learn about the impact of pandemics on healthcare professionals.This includes gender dynamics in Human Resources for Health (HRH) and how women leave regular employment for home care services. health The labor force is one of the HRH stressors during a pandemic.

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For more information:
Annie Haakenstad et al, Measuring the relationship between the availability of human resources for health in 204 countries and regions from 1990 to 2019 and their universal health insurance: Systematic of the 2019 World Disease Burden Study analysis, Lancet (2022). DOI: 10.1016 / S0140-6736 (22) 00532-3

Quote: The global shortage of healthcare professionals was obtained from on May 24, 2022. Threatening health insurance (May 24, 2022)

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