Forced displacement and the health workforce crisis: Venezuelan healthcare workers in Peru

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2024-01-09 DOI:10.1002/hpm.3758
Gareth H. Rees
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Abstract

The migration of health workforces tends to be economically based benefiting high-income countries, while draining lower-income countries of workers and skills However, national instability or civil conflict may also have the effect of forcing out health workers. However, few articles focus on the experiences of these types of migrants. Peru has become the second largest Latin American destination for Venezuelan forced displaced migrants, a number of which are health workers. While the exact numbers of these workers is unknown, it is estimated that 4000 and 3000 doctors and about 2500 nurses and health technicians from Venezuela reside in Peru. These workers find entry into the heath system difficult due to bureaucratic and costly registration and qualification validation procedures. However, during Covid-19 these conditions were relaxed, and a large number of these heath workers entered the heath workforce. These workers were primarily doctors and worked in urban medical facilities, though there was some distribution across the country's departments. This avenue to the health workforce allowed the mobilisation of dormant health skills and lifted workforce density numbers. Nonetheless, it is too early to see if there have been sustainable improvements, and it remains uncertain how these policies have contributed to the country's UHC goals. Peru's experiences raise the issue of how to mobilise dormant displaced health worker migrants.

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被迫流离失所与医务人员危机:秘鲁的委内瑞拉医护人员。
医疗卫生人员的迁徙往往以经济为基础,使高收入国家受益,同时也使较低收入国家的工人和技能流失。然而,很少有文章关注这类移民的经历。秘鲁已成为委内瑞拉被迫流离失所者的第二大拉丁美洲目的地国,其中一些人是卫生工作者。虽然这些工人的确切人数不详,但估计有 4000 至 3000 名来自委内瑞拉的医生和大约 2500 名护士及卫生技术人员居住在秘鲁。由于官僚主义和昂贵的注册和资格验证程序,这些工人很难进入医疗系统。然而,在科维德-19 期间,这些条件得到了放宽,大量这些医疗工作者进入了医疗队伍。这些人员主要是医生,在城市医疗机构工作,但也有一些分布在全国各省。这种进入医疗卫生队伍的途径使沉睡的医疗卫生技能得以调动,并提高了医疗卫生队伍的密度。尽管如此,现在就看是否已经取得了可持续的改善还为时过早,而且这些政策对该国实现全民医保目标的贡献如何也还不确定。秘鲁的经验提出了如何动员处于休眠状态的移民卫生工作者的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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