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首页> 外文期刊>Human Resources for Health >Wrong schools or wrong students? The potential role of medical education in regional imbalances of the health workforce in the United Republic of Tanzania
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Wrong schools or wrong students? The potential role of medical education in regional imbalances of the health workforce in the United Republic of Tanzania

机译：错误的学校或错误的学生？坦桑尼亚联合共和国医学教育在卫生人力区域失衡中的潜在作用

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Background The United Republic of Tanzania, like many other countries in sub-Saharan Africa, faces a human resources crisis in its health sector, with a small and inequitably distributed health workforce. Rural areas and other poor regions are characterised by a high burden of disease compared to other regions of the country. At the same time, these areas are poorly supplied with human resources compared to urban areas, a reflection of the situation in the whole of Sub-Saharan Africa, where 1.3% of the world's health workforce shoulders 25% of the world's burden of disease. Medical schools select candidates for training and form these candidates' professional morale. It is therefore likely that medical schools can play an important role in the problem of geographical imbalance of doctors in the United Republic of Tanzania. Methods This paper reviews available research evidence that links medical students' characteristics with human resource imbalances and the contribution of medical schools in perpetuating an inequitable distribution of the health workforce. Existing literature on the determinants of the geographical imbalance of clinicians, with a special focus on the role of medical schools, is reviewed. In addition, structured questionnaires collecting data on demographics, rural experience, working preferences and motivational aspects were administered to 130 fifth-year medical students at the medical faculties of MUCHS (University of Dar es Salaam), HKMU (Dar es Salaam) and KCMC (Tumaini University, Moshi campus) in the United Republic of Tanzania. The 130 students represented 95.6% of the Tanzanian finalists in 2005. Finally, we apply probit regressions in STATA to analyse the cross-sectional data coming from the aforementioned survey. Results The lack of a primary interest in medicine among medical school entrants, biases in recruitment, the absence of rural related clinical curricula in medical schools, and a preference for specialisation not available in rural areas are among the main obstacles for building a motivated health workforce which can help correct the inequitable distribution of doctors in the United Republic of Tanzania. Conclusion This study suggests that there is a need to re-examine medical school admission policies and practices.
机译：背景坦桑尼亚联合共和国与撒哈拉以南非洲的许多其他国家一样，在其卫生部门面临着人力资源危机，卫生人力队伍很少且分布不均。与该国其他地区相比，农村地区和其他贫困地区的疾病负担高。同时，与城市地区相比，这些地区的人力资源匮乏，这反映了整个撒哈拉以南非洲的情况，那里有1.3％的世界卫生人力承担着世界25％的疾病负担。医学院选择候选人进行培训，并形成候选人的专业士气。因此，医学院校可能在坦桑尼亚联合共和国医生的地理失衡问题中发挥重要作用。方法本文综述了现有的研究证据，这些研究证据将医科学生的特征与人力资源失衡以及医学院校在使卫生人力的分配不公平之间的贡献联系起来。审查了有关临床医生地理失衡的决定因素的现有文献，特别是关于医学院校的作用的文献。此外，还向MUCHS（达累斯萨拉姆大学），HKMU（达累斯萨拉姆大学）和KCMC（医学院）的130名五年级医学生进行了结构化问卷调查，这些数据收集了人口统计学，农村经验，工作偏好和动机方面的数据。坦桑尼亚联合共和国的Tumaini大学，莫西校区）。 130名学生代表了2005年坦桑尼亚决赛入围者的95.6％。最后，我们在STATA中应用概率回归分析了上述调查得出的横截面数据。结果医学院校入学人员对医学的主要兴趣缺乏，招聘偏见，医学院校缺乏与农村相关的临床课程以及偏爱农村地区没有的专业化是构成积极的卫生保健劳动力的主要障碍这可以帮助纠正坦桑尼亚联合共和国医生分布不均的情况。结论这项研究表明，有必要重新审查医学院的录取政策和做法。

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