Cargando…

Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives

BACKGROUND: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru’s recent medical, nursing, and midwifery graduates as well as their transition into employment...

Descripción completa

Detalles Bibliográficos
Autores principales: Jimenez, M. Michelle, Bui, Anthony L., Mantilla, Eduardo, Miranda, J. Jaime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609041/
https://www.ncbi.nlm.nih.gov/pubmed/28934979
http://dx.doi.org/10.1186/s12960-017-0243-y
_version_ 1783265538935357440
author Jimenez, M. Michelle
Bui, Anthony L.
Mantilla, Eduardo
Miranda, J. Jaime
author_facet Jimenez, M. Michelle
Bui, Anthony L.
Mantilla, Eduardo
Miranda, J. Jaime
author_sort Jimenez, M. Michelle
collection PubMed
description BACKGROUND: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru’s recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health’s (MOH) system. METHODS: Data from four different datasets, covering 2007–2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages. RESULTS: HRH graduates have been increasing from 2007 to 2011, but the proportions that enter employment in the MOH system 2 years later range from 8 to 45% and less than 10% of newly trained medical specialists. Scenario analyses indicate that the gap for physicians and nurses will be met in 2027 and 2024, respectively, while midwives in 2017. However, if the number of HRH graduates entering the MOH system doubles, these gaps could be filled as early as 2020 for physicians and 2019 for nurses. In this latter scenario, the MOH system would still only utilize 56% of newly qualified physicians, 74% of nurses, and 66% of midwives available in the labour market. CONCLUSION: At 2013 training rates, Peru has the number of physicians, nurses, and midwives it needs to address HRH shortages and meet estimated HRH gaps in the national MOH system during the next decade. However, a significant number of newly qualified health professionals do not work for the MOH system within 2 years of graduation. These analyses highlight the importance of building adequate incentive structures to improve the entry and retention of HRH into the public sector.
format Online
Article
Text
id pubmed-5609041
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-56090412017-09-25 Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives Jimenez, M. Michelle Bui, Anthony L. Mantilla, Eduardo Miranda, J. Jaime Hum Resour Health Research BACKGROUND: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru’s recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health’s (MOH) system. METHODS: Data from four different datasets, covering 2007–2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages. RESULTS: HRH graduates have been increasing from 2007 to 2011, but the proportions that enter employment in the MOH system 2 years later range from 8 to 45% and less than 10% of newly trained medical specialists. Scenario analyses indicate that the gap for physicians and nurses will be met in 2027 and 2024, respectively, while midwives in 2017. However, if the number of HRH graduates entering the MOH system doubles, these gaps could be filled as early as 2020 for physicians and 2019 for nurses. In this latter scenario, the MOH system would still only utilize 56% of newly qualified physicians, 74% of nurses, and 66% of midwives available in the labour market. CONCLUSION: At 2013 training rates, Peru has the number of physicians, nurses, and midwives it needs to address HRH shortages and meet estimated HRH gaps in the national MOH system during the next decade. However, a significant number of newly qualified health professionals do not work for the MOH system within 2 years of graduation. These analyses highlight the importance of building adequate incentive structures to improve the entry and retention of HRH into the public sector. BioMed Central 2017-09-21 /pmc/articles/PMC5609041/ /pubmed/28934979 http://dx.doi.org/10.1186/s12960-017-0243-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Jimenez, M. Michelle
Bui, Anthony L.
Mantilla, Eduardo
Miranda, J. Jaime
Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title_full Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title_fullStr Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title_full_unstemmed Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title_short Human resources for health in Peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
title_sort human resources for health in peru: recent trends (2007–2013) in the labour market for physicians, nurses and midwives
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609041/
https://www.ncbi.nlm.nih.gov/pubmed/28934979
http://dx.doi.org/10.1186/s12960-017-0243-y
work_keys_str_mv AT jimenezmmichelle humanresourcesforhealthinperurecenttrends20072013inthelabourmarketforphysiciansnursesandmidwives
AT buianthonyl humanresourcesforhealthinperurecenttrends20072013inthelabourmarketforphysiciansnursesandmidwives
AT mantillaeduardo humanresourcesforhealthinperurecenttrends20072013inthelabourmarketforphysiciansnursesandmidwives
AT mirandajjaime humanresourcesforhealthinperurecenttrends20072013inthelabourmarketforphysiciansnursesandmidwives