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首页> 外文期刊>Journal of Health Services Research & Policy >Not enough doctors or not enough needs? Refocusing health workforce planning from providers and services to populations and needs
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Not enough doctors or not enough needs? Refocusing health workforce planning from providers and services to populations and needs

机译：没有足够的医生或需求不足？将卫生人力规划的重点从提供者和服务转移到人口和需求

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摘要

The importance of allocating services in accordance with population needs is well-established. Needs-based approachesnto geographical resource allocation were established in the National Health Service in the UK in the 1970s, but the rolenof population needs has not extended to planning for the quantity and mix of health care services or for the providersnrequired to deliver these services. We present a framework that integrates health service and workforce planningnfocused on responding to population needs. Using data from the General Household Survey for England over thenperiod 1985–2006, we illustrate trends in health needs and service use per capita. Despite needs per capita falling,nservice use has increased. Rates of increase in service use are greater among those with less needs illustrating that, in thenabsence of appropriate planning methods, increases in service use may result from supplier influence rather than policyndecisions.
机译：众所周知，根据人口需求分配服务的重要性。 1970年代，英国国家卫生服务局（National Health Service）建立了基于需求的地理资源分配方法，但是人口需求的作用尚未扩展到规划医疗服务的数量和组合或提供这些服务所需的提供者。我们提出了一个框架，将卫生服务和劳动力规划相结合，以应对人口需求为重点。利用1985年至2006年期间英格兰普通家庭调查的数据，我们可以说明人均健康需求和服务使用的趋势。尽管人均需求下降，但服务使用却有所增加。在需求较少的国家中，服务使用的增长速度较大，这说明缺乏适当的计划方法时，服务使用的增长可能是由供应商的影响而不是政策决定引起的。

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  • 来源
    《Journal of Health Services Research & Policy》 |2013年第2期|107-113|共7页
  • 作者

    Stephen Birch1 Thomas Mason2 Matthew Sutton3 and William Whittaker4;

  • 作者单位

    1Professor Centre for Health Economics and Policy Analysis McMaster University Hamilton Canada and Professor Centre for Health Economics Institute of Population Health University of Manchester Manchester UK 2Research Associate Centre for Health Economics Institute of Population Health University of Manchester Manchester UK 3Professor Centre for Health Economics Institute of Population Health University of Manchester Manchester UK 4Research Fellow Centre for Health Economics Institute of Population Health University of Manchester Manchester UK;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    population needs; workforce planning;

    机译：人口需求;人力资源规划;

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