通过卫生工作者跨部门合作实现全民健康政策的途径:范围界定审查。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health policy and planning Pub Date : 2024-11-16 DOI:10.1093/heapol/czae046
Tara Tancred, Margaret Caffrey, Michelle Falkenbach, Joanna Raven
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引用次数: 0

摘要

卫生工作者队伍(HWF)是卫生部门的重要组成部分。跨部门/多部门的合作和行动是加强卫生工作者队伍的基础,能够满足人口不断变化的健康需求,支持社会和经济发展的更广泛目标--这种发展是所有政策中都需要卫生(HiAP)的基础。为了确定从跨部门/多部门活动中可以学到什么来加强世界卫生基金会,以推进全民健康计划,我们进行了一次范围界定审查。我们的审查包括同行评审文献和灰色文献。搜索术语包括保健福利基金、跨部门/多部门活动以及治理或管理。我们进行了框架分析,围绕实施 HiAP 的不同方面提取数据。为了支持推进全民信息计划的行动,我们的分析确定了有关全民信息计划跨部门/多部门合作的核心建议,并将其归纳为 "通向全民信息计划的途径"。我们确定了 93 篇文献--67 篇(72%)为期刊论文,26 篇(28%)为灰色文献。文献反映了广泛的国家和地区背景。大多数文献(80 篇,占 86%)是在过去 10 年内发表的,这反映了以跨部门/多部门活动为主题的出版物日益增多的趋势。通过审查和分析,我们确定了 "通往全民信息计划之路 "的五个领域:确保强有力的 协调和领导;加强治理、决策和实施能力;制定跨部门/多部门战略;建立跨部门/多部门信 息系统以及确定透明、资源融资和投资机会。每一项都具有关键的实际和政策影响。尽管我们引入了 "路径",但这些领域之间的关系并不是线性的,相反,它们既相互影响,又相互影响,反映了它们共同的重要性。强调这一 "途径 "的是对跨部门/多部门活动、共同愿景和政治意愿重要性的共同认识。下一个里程碑是推进 "人人享有 "健康的政策--提供有关最佳做法的证据,以确定和最大限度地发挥跨部门的共同效益。
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The pathway to health in all policies through intersectoral collaboration on the health workforce: a scoping review.

The health workforce (HWF) is a critical component of the health sector. Intersectoral/multisectoral collaboration and action is foundational to strengthening the HWF, enabling responsiveness to dynamic population health demands and supporting broader goals around social and economic development-such development underpins the need for health in all policies (HiAP). To identify what can be learned from intersectoral/multisectoral activity for HWF strengthening to advance HiAP, we carried out a scoping review. Our review included both peer-reviewed and grey literature. Search terms encompassed terminology for the HWF, intersectoral/multisectoral activities and governance or management. We carried out a framework analysis, extracting data around different aspects of HiAP implementation. With the aim of supporting action to advance HiAP, our analysis identified core recommendations for intersectoral/multisectoral collaboration for the HWF, organized as a 'pathway to HiAP'. We identified 93 documents-67 (72%) were journal articles and 26 (28%) were grey literature. Documents reflected a wide range of country and regional settings. The majority (80, 86%) were published within the past 10 years, reflecting a growing trend in publications on the topic of intersectoral/multisectoral activity for the HWF. From our review and analysis, we identified five areas in the 'pathway to HiAP': ensure robust coordination and leadership; strengthen governance and policy-making and implementation capacities; develop intersectoral/multisectoral strategies; build intersectoral/multisectoral information systems and identify transparent, resources financing and investment opportunities. Each has key practical and policy implications. Although we introduce a 'pathway', the relationship between the areas is not linear, rather, they both influence and are influenced by one another, reflecting their shared importance. Underscoring this 'pathway' is the shared recognition of the importance of intersectoral/multisectoral activity, shared vision and political will. Advancing health 'for' all policies-generating evidence about best practices to identify and maximize co-benefits across sectors-is a next milestone.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
期刊最新文献
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