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首页> 外文期刊>Iranian journal of public health. >A Combined Approach for Estimating Health Staff Requirements
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A Combined Approach for Estimating Health Staff Requirements

机译：估计卫生人员需求的综合方法

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BackgroundMany studies have been carried out and many methods have been used for estimating health staff re-quirements in health facilities or system, each have different advantages and disadvantages. Differences in the extent to which utilization matches needs in different conditions intensify the limitations of each approach when used in iso-lation. Is the utilization-based approach efficient in a situation of over servicing? Is it sufficient in a situation of under-utilization? These questions can be similarly asked about the needs-based approach. This study is looking for a flexible approach to estimate the health staff requirements efficiently in these different conditions.MethodThis study was carried out in 2011 in some stages: It was conducted in order to identify the formula used in the different approaches. The basic formulas used in the utilization-based approach and the needs-based approach were identified and then combined using simple mathematical principles to develop a new formula. Finally, the new formula was piloted by assessing family health staff requirements in the health posts in Kashan City, Iran.ResultsComparison of the two formulas showed that the basic formulas used in the two approaches can be com-bined by including the variable ‘Coverage’. The pilot study confirmed the role of coverage in the suggested combined approach.ConclusionsThe variables in the developed formula allow combining needs-based, target-based and utilization-based approaches. A limitation of this approach is applicability to a given service package.
机译：背景技术已经进行了许多研究，并且已经使用许多方法来估计卫生设施或系统中卫生人员的需求，每种方法各有优缺点。在隔离条件下使用时，利用率在不同条件下匹配需求的程度差异会加剧每种方法的局限性。在过度维修的情况下，基于利用率的方法是否有效？在利用率不足的情况下是否足够？对于基于需求的方法，可以类似地询问这些问题。本研究正在寻找一种灵活的方法来在这些不同条件下有效地估算卫生人员的需求。方法该研究于2011年进行了一些阶段：进行该研究是为了确定在不同方法中使用的公式。确定了基于利用率的方法和基于需求的方法中使用的基本公式，然后使用简单的数学原理进行组合以开发新公式。最后，通过评估伊朗喀山市卫生部门的家庭保健人员需求来试用新公式。结果对两个公式的比较表明，可以通过将变量``覆盖率''包括在内来组合两种方法中使用的基本公式。初步研究证实了覆盖率在建议的组合方法中的作用。结论已开发公式中的变量允许组合基于需求，基于目标和基于利用率的方法。这种方法的局限性是对给定服务包的适用性。

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