Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico

Montañez-Hernández, Julio César; Alcalde‐Rabanal, Jacqueline Elizabeth; Reyes-Morales, Hortensia

doi:10.11606/s1518-8787.2020054002011

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…For example, a recent call from a local politician in Canada to allow-more-foreign-trained-doctors-to-help-with-covid-19-crisis sparked controversy with regulatory authorities concerned with safety implications [ 14 ], but an emergency policy was enacted nonetheless on a short-term basis [ 15 ]. In Mexico, concerns were that these strategies neglect endemic local underemployment [ 16 ], and suspicions were unleashed about the functions that this personnel will be able to perform and the way the will be contracted and paid over the course of the epidemic [ 17 ].…”

Section: Supply and Surge Capacity: Increase Numbersmentioning

confidence: 99%

The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces

et al. 2020

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This commentary addresses the critically important role of health workers in their countries’ more immediate responses to COVID-19 outbreaks and provides policy recommendations for more sustainable health workforces. Paradoxically, pandemic response plans in country after country, often fail to explicitly address health workforce requirements and considerations. We recommend that policy and decision-makers at the facility, regional and country-levels need to: integrate explicit health workforce requirements in pandemic response plans, appropriate to its differentiated levels of care, for the short, medium and longer term; ensure safe working conditions with personal protective equipment (PPE) for all deployed health workers including sufficient training to ensure high hygienic and safety standards; recognise the importance of protecting and promoting the psychological health and safety of all health professionals, with a special focus on workers at the point of care; take an explicit gender and social equity lens, when addressing physical and psychological health and safety, recognising that the health workforce is largely made up of women, and that limited resources lead to priority setting and unequitable access to protection; take a whole of the health workforce approach—using the full skill sets of all health workers—across public health and clinical care roles—including those along the training and retirement pipeline—and ensure adequate supervisory structures and operating procedures are in place to ensure inclusive care of high quality; react with solidarity to support regions and countries requiring more surge capacity, especially those with weak health systems and more severe HRH shortages; and acknowledge the need for transparent, flexible and situational leadership styles building on a different set of management skills.

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Section: Supply and Surge Capacity: Increase Numbersmentioning

confidence: 99%

The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces

et al. 2020

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“…However, most female morticians employed had credentials, of trained mortuary science with secured permanent jobs. Popular morticians, 80%, have inadequate knowledge, in basic subjects such as, biology, chemistry and physics, that form the pillars of forensic science and embalming, which is in line with study by [15,20]. on human resources for health and overcoming the calamities, in low settings of health sectors in Developing countries.…”

Section: Volume 4 -Issue 3 Peer Rev J Foren and Gen Scimentioning

confidence: 89%

“…Forensic integrated capacity building provides basic knowledge and skills in public health, forensic sciences, health laws, tissue and anatomy acts, detective crime science and mortuary science, [19]. Capacity building in Mortuary/ forensic services, mediate proper knowledge and skills, empowered to influence sustainability of mortuary/forensic services, [20]. Therefore, effect quality infection prevention control, admissible evidence, reconstruction at the diagnostic triangle.…”

Section: Mortuary/forensic Service Providers and Capacity Buildingmentioning

confidence: 99%

“…And proper unceremonious mass grave that entails, mass grave disposal of earmarked graveyards, in less than 6 feet deep and all unclaimed corpses are tagged with aluminum metals, to enable easy accessibility during exhumation. Due to future demands from the NOK, [20,24,29]. Nevertheless, currently there are no quality studies published scholarly, to demonstrate in Kenya, how Knowledge, attitude practices of forensic and mortuary service providers influence control occupational health hazards, epidemic risks, uptake of medico legal procedures, health laws and how health system factors to influence a decreasing, unceremonious mass grave disposal of unclaimed corpses for sustainable safe community livelihoods.…”

Section: Effects Of Kap Of Mortuary and Forensic Service Providers On...mentioning

confidence: 99%

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Health System Factors Attributed to Unceremonious Mass Grave Disposal of the Unclaimed Corpses in Western Kenya by Public Mortuaries

Silali

2022

PRJFGS

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Health system factors, attributed to unceremonious mass grave disposal of the unclaimed corpses by public mortuaries. Continue to position a big challenge on the increasing morbidities and mortalities, attributed to unclaimed corpses or missing dead persons. Whom, the Next of Kin (NOK), may not find them alive again, after concluded search by the Police services. Using the secured networks, such as, 1-24/7, police signal 7, 8 and upload photographs of all unknown corpses on, Interpol yellow view notices, within the medico legal span of cold storage and "cold hit". And the community social capital, such as, family members, or community households Samaritans, to mediate on previously unclaimed corpse into dignified disposal. By doing forensic identification and DNA validations, as per specific religious and cultural rites. Birth, and registration Act CAP 149, on the vital notification of cause and nature of death, of each specific citizen before disposal. Disappointment of Police services to implement quality forensic services, as the main health system factor. Have provoked, endless unceremonious mass grave disposal of unclaimed corpses in western Kenya. Like the Low uptake of quality medico legal procedures, deficiency integrated functional, forensic science department, with core forensic disciplines, as per CAP 75 Penal code. Public health officers and resident magistrates are other main health system factors, that habitually apply Health laws, governing medico legal procedures, to sustain primary prevention, using Public Health Act CAP 242 and local Government Act CAP 265, to issue affidavits and court orders. As a substitute of advocating for CAP 149 of birth and registration Act. Which, effects candid consents to NOK, to enable justice accountability of human remains, as per Human Anatomy Act CAP 249. However, not one study, has been explored, to demonstrate how health system factors of the forensic sciences, influence the increasing improper, unceremonious mass grave disposal of unclaimed corpses, by public mortuaries. Thus, the timely need, to establish how health system factors influence the uptake, and establish, how knowledge attitude and practices of mortuary /forensic service providers effect, improper unceremonious mass grave disposal in western Kenya. Study designs were, descriptive cross sectional and cohorts, of mixed approaches, with Primary and Secondary study populations. Sampling designs were Active convenient purposive, and passive, retrospective desk reviews records of past 5 years' data. Using semi-structured questionnaires, retrospective, desk review form, KII, FGD and observation guides. Data, was managed by SPSS version 26. Out of 3899 unclaimed corpses acknowledged, 1420, (36%) were improperly mass grave disposal, using Affidavits and court orders; 1262 (32%) adult male, 158 (4%) adult females. While 878, (23%), were fetus and juvenile from the law neglected cohorts since colonial era. Forensic fingerprints /DNA validation by Police services as health system factor, remained insignifican...

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“…Sin embargo, este crecimiento ha sido muy incipiente debido a la segmentación del sistema de salud en el país y que favorece la inequidad, con tres subsistemas que operan en paralelo con capacidad distinta en número y tipo de personal de salud: 1) esquemas de seguridad social para población con empleo formal, 2) servicios de asistencia pública para los no asegurados, y 3) sector privado (5). Si bien en México la formación de enfermería se categoriza en nivel técnico, profesional (licenciatura) y posgrado (especialidades, maestrías y doctorados) (6) aún la mayor proporción de los servicios se ofrece con un enfoque desde la atención médica individual, en el que poco participa el personal de enfermería, cuyo déficit en el sistema de salud ha sido documentado (7).…”

Section: Palabras Claveunclassified

Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México

Casales-Hernández,

Reyes-Morales,

Nigenda

et al. 2023

Revista Panamericana De Salud Pública

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Objetivo. Explorar la percepción de los profesionales de enfermería respecto a los facilitadores y las barreras para la implementación de funciones ampliadas de enfermería en una entidad federativa de México. Métodos. Estudio cualitativo de tipo descriptivo con enfoque fenomenológico. Durante el 2022 se realizaron 18 entrevistas semiestructuradas a tres tipos de informantes: a) jefaturas estatales de enfermería, b) jefaturas jurisdiccionales de enfermería, y c) jefaturas de unidad de salud y personal de enfermería operativo (atención directa a pacientes). Resultados. Se identificaron los siguientes facilitadores: disposición de adopción de la estrategia (postura favorable de directivos y aceptabilidad del personal de enfermería), reorganización de funciones (simplificación de procesos y análisis de la situación de unidades de salud) y acceso a la capacitación y características del personal de enfermería (profesionalización, experiencia laboral y actitud favorable). Entre las barreras se encontraron: contexto del primer nivel de atención (falta de personal, exceso de actividades administrativas, falta de espacio físico, carencia de material, insumos y consumibles), resistencia al cambio (celo profesional por otras disciplinas y duplicidad de tareas), salarios del personal, falta de actualización, poca confianza para el incremento de funciones y actitud de los pacientes (resistencia a la atención por enfermería). Conclusiones. Comprender la percepción de los profesionales de enfermería permite identificar elementos clave para la ampliación exitosa de las funciones de enfermería a partir de la expansión de competencias laborales del personal operativo; será necesaria una reorganización y una gestión adecuada en los diferentes niveles de toma de decisiones.

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Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico

Cited by 8 publications

References 12 publications

The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces

The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces

Health System Factors Attributed to Unceremonious Mass Grave Disposal of the Unclaimed Corpses in Western Kenya by Public Mortuaries

Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México

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