“…There are different examples of well-developed policies that address all the complexities of the health labor market, yet it is difficult to prioritize issues to be tackled in the face of limited resources, social demands and the relevance of the public agenda. Also, the window of opportunity to an issue on the political agenda can be short, it can disappear, so it is important to predict and prioritize (32,33). For example, the Plan for the Implementation of the National Policy on HRH of the Ministry of Public Health and Social Welfare of Paraguay describes strategy, indicators, activities, goals and means of verification…”
Objective.
To create and validate criteria for prioritizing problems related to policies and management of the health workforce.
Methods.
This methodological study was divided into three stages. First, the criteria were elaborated by means of a systematized literature review. Second, the criteria were evaluated online by a committee of judges comprised of eight specialists. In the third stage, an evaluation was carried out by the target audience in a hybrid workshop. The participants evaluated the material using the Suitability Assessment of Materials instrument, adapted for the research.
Results.
Three prioritization criteria (relevance, window of opportunity and acceptability) and a scoring scale were developed based on the literature review. In the evaluation by the committee of judges, the approval percentage of the criteria and prioritization method was 84%. Modifications were made based on suggestions in relation to the material presented to the specialists. In the pre-test stage, the approval percentage varied by item, with six of them reaching a maximum approval of 100% (corresponding to approximately 46% of the items), four reaching 92% and three achieving 83% each, indicating positive results.
Conclusions.
The developed criteria were considered valid for use in the context of policies and management in the area of human resources for health.
“…There are different examples of well-developed policies that address all the complexities of the health labor market, yet it is difficult to prioritize issues to be tackled in the face of limited resources, social demands and the relevance of the public agenda. Also, the window of opportunity to an issue on the political agenda can be short, it can disappear, so it is important to predict and prioritize (32,33). For example, the Plan for the Implementation of the National Policy on HRH of the Ministry of Public Health and Social Welfare of Paraguay describes strategy, indicators, activities, goals and means of verification…”
Objective.
To create and validate criteria for prioritizing problems related to policies and management of the health workforce.
Methods.
This methodological study was divided into three stages. First, the criteria were elaborated by means of a systematized literature review. Second, the criteria were evaluated online by a committee of judges comprised of eight specialists. In the third stage, an evaluation was carried out by the target audience in a hybrid workshop. The participants evaluated the material using the Suitability Assessment of Materials instrument, adapted for the research.
Results.
Three prioritization criteria (relevance, window of opportunity and acceptability) and a scoring scale were developed based on the literature review. In the evaluation by the committee of judges, the approval percentage of the criteria and prioritization method was 84%. Modifications were made based on suggestions in relation to the material presented to the specialists. In the pre-test stage, the approval percentage varied by item, with six of them reaching a maximum approval of 100% (corresponding to approximately 46% of the items), four reaching 92% and three achieving 83% each, indicating positive results.
Conclusions.
The developed criteria were considered valid for use in the context of policies and management in the area of human resources for health.
The 2020–2022 period of the global COVID-19 pandemic exposed the fact that many countries health systems had inadequate health workforce availability. This is despite sustainable health workforces being critical to health service and healthcare delivery, an acknowledgement that drove the significant investment and focus on health workforce development over the previous two decades. As such, this review article discusses health workforce governance and planning, notes its weaknesses, and identifies some of the barriers to the implementation of health workforce policy making and planning and the achievement of sustainable health workforces. Important is the recognition that health workforce planning is long-term in nature, while health workforce decision-making processes are dominated by political processes that have much shorter time frames. The article concludes by offering the approach of backcasting to overcome this dichotomy.
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