Marco de referĂȘncia sobre recursos humanos

Training interventions

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Training interventions
Increase numbers of new students Yes
Recruit foreign graduates Yes
Recognise previous learning Yes
Improve curriculum content Yes Yes⁹ Yes
Adjust relative numbers of specialists, generalist, and midlevel training positions Yes
Refine admission criteria Yes⁹ Yes
Use reserved entry or quotas for specific groups Yes Yes
Introduce conditional scholarships Yes Yes
Diversity location of training sites Yes⁹
Involve communities (eg, in selection of trainees) Yes Yes
Recruit and train faculty Yes
Introduce training approaches (eg, problem-based learning) Yes

Regulatory mechanisms

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Regulatory mechanisms
Recognise overseas qualifications Yes Yes⁹ Yes
Introduce temporary employment regulations Yes Yes
Expand roles of midlevel workers Yes
Require service in underserved regions Yes⁹
Restrict migration of workers Yes
Ensure competence Yes
Introduce malpractice regulations Yes

Financial mechanisms

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Financial mechanisms
Increase trainee salaries Yes Yes

Organisational mechanisms

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Organisational mechanisms
Change recruitment policies
Introduce performance management systems
Change workflow or workload
Increase numbers of nurses
Improve information flow or use electronic health records
Allow medical care for staff (eg, HIV/AIDS treatment)
Employ lay health workers
Use private-sector workers
Integrate health-care services
Promote team work
Use community health planning
Substitute or extend roles of health workers

Involve the community

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Involve the community
Adopt quality improvement and continuous education strategies

Macro policies and mechanisms...

Supply
(quantity) of
health workers
Distribution
of health
workers
Efficient use
of health
workers
Performance
of health
workers
Macro policies and mechanisms In other sectors
Estimate human resource needs and plan for supply
Regulate the civil service

Fonte: Chopra et al. Lancet 2008;371:668-674