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Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce
Access to good-quality health services is crucial for the improvement of many health outcomes, such as those targeted by the Millennium Development Goals (MDGs) adopted by the international community in 2000. The health-related MDGs cannot be achieved if vulnerable populations do not have access to...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2006
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1481612/ https://www.ncbi.nlm.nih.gov/pubmed/16729892 http://dx.doi.org/10.1186/1478-4491-4-12 |
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author | Dussault, Gilles Franceschini, Maria Cristina |
author_facet | Dussault, Gilles Franceschini, Maria Cristina |
author_sort | Dussault, Gilles |
collection | PubMed |
description | Access to good-quality health services is crucial for the improvement of many health outcomes, such as those targeted by the Millennium Development Goals (MDGs) adopted by the international community in 2000. The health-related MDGs cannot be achieved if vulnerable populations do not have access to skilled personnel and to other necessary inputs. This paper focuses on the geographical dimension of access and on one of its critical determinants: the availability of qualified personnel. The objective of this paper is to offer a better understanding of the determinants of geographical imbalances in the distribution of health personnel, and to identify and assess the strategies developed to correct them. It reviews the recent literature on determinants, barriers and the effects of strategies that attempted to correct geographical imbalances, with a focus on empirical studies from developing and developed countries. An analysis of determinants of success and failures of strategies implemented, and a summary of lessons learnt, is included. |
format | Text |
id | pubmed-1481612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-14816122006-06-22 Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce Dussault, Gilles Franceschini, Maria Cristina Hum Resour Health Review Access to good-quality health services is crucial for the improvement of many health outcomes, such as those targeted by the Millennium Development Goals (MDGs) adopted by the international community in 2000. The health-related MDGs cannot be achieved if vulnerable populations do not have access to skilled personnel and to other necessary inputs. This paper focuses on the geographical dimension of access and on one of its critical determinants: the availability of qualified personnel. The objective of this paper is to offer a better understanding of the determinants of geographical imbalances in the distribution of health personnel, and to identify and assess the strategies developed to correct them. It reviews the recent literature on determinants, barriers and the effects of strategies that attempted to correct geographical imbalances, with a focus on empirical studies from developing and developed countries. An analysis of determinants of success and failures of strategies implemented, and a summary of lessons learnt, is included. BioMed Central 2006-05-27 /pmc/articles/PMC1481612/ /pubmed/16729892 http://dx.doi.org/10.1186/1478-4491-4-12 Text en Copyright © 2006 Dussault and Franceschini; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Dussault, Gilles Franceschini, Maria Cristina Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title | Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title_full | Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title_fullStr | Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title_full_unstemmed | Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title_short | Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
title_sort | not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1481612/ https://www.ncbi.nlm.nih.gov/pubmed/16729892 http://dx.doi.org/10.1186/1478-4491-4-12 |
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