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Having one of the highest physician-population ratios in the world, Russia - paradoxically - also faces shortages of physicians. This paper explores the reasons for this paradox through examining the structural characteristics of the Russian health workforce and its development. In comparing Russia with mainstream European countries and in particular the "new" EU countries we argue that the shortage of physicians is determined mostly by the prevailing model of health workforce development with its enduring emphasis on quantitative rather than structural indicators. First, the traditional perception of physicians as inexpensive health resources determines the long-term growth of their jobs - irrespective of the new opportunities for substitution and other structural innovations. Second, there is a persistent distortion in the composition of physician supply, of which the most important is the very low share and narrow remit of primary health care providers in comparison to European standards. Third, the international trends in the division of labor between physicians, medical nurses and allied health personnel are not followed in Russia with the result of an inevitable overburden of physicians, the reproduction of a large supply of physicians, while also the paradoxical shortage. Fourth, the system of professional development of physicians does not match international standards. Although with a substantial delay, Russia has now started transition to a workforce model focused on structural characteristics of human resources and so, in the final part of the paper, these new initiatives of the Government are critically assessed.
This book aims to introduce nurses and other healthcare professionals to how anthropology can help them understand nursing as a profession and as a culture. Drawing on key anthropological concepts, the book facilitates the understanding and critical consideration of nursing practice, as seen across a wide range of health care contexts, and which impacts the delivery of appropriate care for service users. Considering the fields in which nurses work, the book argues that in order for nurses to optimize their roles as deliverers of patient care, they must not only engage with the realities of the cultural world of the patient, but also that of their own multi-professional cultural environment. The only book currently in the field on anthropology of nursing, this book will be a valuable resource for nursing students at all academic levels, especially where they can pursue specific modules in the subject, as well as those other students pursuing medical anthropology courses. As well as this, it will be an essential text for those post-graduate students who wish to consider alternative world views from anthropology and their application in nursing and healthcare, in addition to their undertaking ethnographic research to explore nursing in all its fields of practice.
Foreword and Acknowledgments -- Executive summary -- Key findings -- Analytical framework of health labour markets -- Trends in health labour markets and policy priorities to address workforce issues -- Education and training for doctors and nurses: What's happening with numerus clausus policies? -- Trends and policies affecting the international migration of doctors and nurses to OECD countries -- Geographic imbalances in the distribution of doctors and health care services in OECD countries -- Skills use and skills mismatch in the health sector: What do we know and what can be done
"The ongoing COVID-19 pandemic marks the most significant, singular global disruption since World War II, with health, economic, political, and security implications that will ripple for years to come." -Global Trends 2040 (2021) Global Trends 2040-A More Contested World (2021), released by the US National Intelligence Council, is the latest report in its series of reports starting in 1997 about megatrends and the world's future. This report, strongly influenced by the COVID-19 pandemic, paints a bleak picture of the future and describes a contested, fragmented and turbulent world. It specifically discusses the four main trends that will shape tomorrow's world: - Demographics-by 2040, 1.4 billion people will be added mostly in Africa and South Asia. - Economics-increased government debt and concentrated economic power will escalate problems for the poor and middleclass. - Climate-a hotter world will increase water, food, and health insecurity. - Technology-the emergence of new technologies could both solve and cause problems for human life. Students of trends, policymakers, entrepreneurs, academics, journalists and anyone eager for a glimpse into the next decades, will find this report, with colored graphs, essential reading.
This report describes recent trends in the international migration of doctors and nurses in OECD countries. Over the past decade, the number of doctors and nurses has increased in many OECD countries, and foreign-born and foreign-trained doctors and nurses have contributed to a significant extent. New in-depth analysis of the internationalisation of medical education shows that in some countries (e.g. Israel, Norway, Sweden and the United States) a large and growing number of foreign-trained doctors are people born in these countries who obtained their first medical degree abroad before coming back. The report includes four case studies on the internationalisation of medical education in Europe (France, Ireland, Poland and Romania) as well as a case study on the integration of foreign-trained doctors in Canada.
This review examines some of the possible reasons for poor population health in Russia and explores possible impediments to further improvements. In doing so it examines the current health system against the background of the reforms put in place in ...
The New Public Health has established itself as a solid textbook throughout the world. Translated into 7 languages, this work distinguishes itself from other public health textbooks, which are either highly locally oriented or, if international, lack the specificity of local issues relevant to students' understanding of applied public health in their own setting. This 3e provides a unified approach to public health appropriate for all masters' level students and practitioners—specifically for courses in MPH programs, community health and preventive medicine programs, community health education programs, and community health nursing programs, as well as programs for other medical professionals such as pharmacy, physiotherapy, and other public health courses. - Changes in infectious and chronic disease epidemiology including vaccines, health promotion, human resources for health and health technology - Lessons from H1N1, pandemic threats, disease eradication, nutritional health - Trends of health systems and reforms and consequences of current economic crisis for health - Public health law, ethics, scientific d health technology advances and assessment - Global Health environment, Millennium Development Goals and international NGOs
Education is the first stage in developing a viable, dynamic, and long-lived global economy. Unfortunately, in times of economic hardship, educational programs, teacher salaries, and extracurricular opportunities are often the first to be cut. International Education and the Next-Generation Workforce: Competition in the Global Economy presents a detailed discussion of present educational principles and policies, and their impact on the effectiveness of education in a multi-national context. The chapters in this pivotal reference contribute to the body of literature bridging the gap between the fields of business and education, providing educators and business professionals at all levels with an instruction manual for the next generation of employment-focused teaching and learning.
Previously published as Strategic Information Management in Hospitals; An Introduction to Hospital Information Systems, Health Information Systems Architectures and Strategies is a definitive volume written by four authoritative voices in medical informatics. Illustrating the importance of hospital information management in delivering high quality health care at the lowest possible cost, this book provides the essential resources needed by the medical informatics specialist to understand and successfully manage the complex nature of hospital information systems. Author of the first edition's Foreword, Reed M. Gardner, PhD, Professor and Chair, Department of Medical Informatics, University of Utah and LDS Hospital, Salt Lake City, Utah, applauded the text's focus on the underlying administrative systems that are in place in hospitals throughout the world. He wrote, "These challenging systems that acquire, process and manage the patient's clinical information. Hospital information systems provide a major part of the information needed by those paying for health care." their components; health information systems; architectures of hospital information systems; and organizational structures for information management.
Health at a Glance provides a comprehensive set of indicators on population health and health system performance across OECD members and key emerging economies. This edition has a special focus on the health impact of COVID-19 in OECD countries, including deaths and illness caused by the virus, adverse effects on access and quality of care, and the growing burden of mental ill-health.