International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review

Detalhes bibliográficos
Autor(a) principal: Ana Cristina van Stralen
Data de Publicação: 2022
Outros Autores: Cristiana Leite Carvalho, Sábado Nicolau Girardi, Alice Werneck Massote, Mariangela Leal Cherchiglia
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966
Resumo: COVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. Given its rapid spread, governments, communities, and health services are having to act with the same speed to expand their health workforce capacity. Based on the scoping review method, this study aimed to identify the principal strategies related to measures for flexibilization of regulations on healthcare workers’ practices that have been adopted and/or recommended internationally. The study followed the stages proposed by the Joanna Briggs Institute. The research question was developed with the PCC method (population, concept, and context). Searches were performed in PubMed, Scopus, WHO Database, and the gray literature. A total of 36 documents were identified, classified in the following strategies: (1) expansion of scope of practice; (2) shifting of roles from one professional category to another; (3) authorization for patient care and billing via telemedicine; (4) licensing and recruitment of inactive workers; (5) recruitment of workers from other regions/states; and (6) changes in basic training and supply of new training. One of the most important strategies in response to health workforce shortages has been the willingness to adapt, expand, and redistribute workers’ activities to deal with rapid changes. This review reflects the importance of reforms in workforce regulation to optimize the existing health workforce so that it can meet the population’s constant needs and demands.
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spelling International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping reviewEstratégias internacionais de flexibilização da regulação da prática de profissionais de saúde em resposta à pandemia da COVID-19: revisão de escopoCOVID-19PandemicsHealth WorkforceProfessional CompetenceCOVID-19PandemiasMão de Obra em SaúdeCompetência ProfissionalCOVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. Given its rapid spread, governments, communities, and health services are having to act with the same speed to expand their health workforce capacity. Based on the scoping review method, this study aimed to identify the principal strategies related to measures for flexibilization of regulations on healthcare workers’ practices that have been adopted and/or recommended internationally. The study followed the stages proposed by the Joanna Briggs Institute. The research question was developed with the PCC method (population, concept, and context). Searches were performed in PubMed, Scopus, WHO Database, and the gray literature. A total of 36 documents were identified, classified in the following strategies: (1) expansion of scope of practice; (2) shifting of roles from one professional category to another; (3) authorization for patient care and billing via telemedicine; (4) licensing and recruitment of inactive workers; (5) recruitment of workers from other regions/states; and (6) changes in basic training and supply of new training. One of the most important strategies in response to health workforce shortages has been the willingness to adapt, expand, and redistribute workers’ activities to deal with rapid changes. This review reflects the importance of reforms in workforce regulation to optimize the existing health workforce so that it can meet the population’s constant needs and demands.La COVID-19 fue clasificada como pandemia por la Organización Mundial de la Salud (OMS) el 11 de marzo de 2020. Ante su acelerada propagación, gobernantes, comunidades y servicios de salud están teniendo que actuar a la misma velocidad para ampliar la capacidad de la fuerza de trabajo en salud. Este estudio tuvo como objetivo, a partir del método revisión de alcance, identificar las principales estrategias relacionadas con medidas de flexibilización de regulaciones que rigen las prácticas de profesionales de salud que vienen siendo adoptadas y/o recomendadas internacionalmente. El estudio siguió las etapas propuestas por parte del Instituto Joanna Briggs. Para la construcción de la cuestión de investigación, se utilizó el método PCC (población, concepto y contexto). La búsqueda se basó en las siguientes bases de datos: PubMed, Scopus, Base de Datos de la OMS; y en la literatura gris. Se identificaron 36 documentos, clasificados en las siguientes estrategias: (1) ampliación de ámbito de práctica; (2) transferencia de funciones de una categoría profesional a otra; (3) autorización para atención y facturación vía telemedicina; (4) permisos y reclutamiento de profesionales no activos; (5) reclutamiento de profesionales de otras regiones/estado; (6) cambios en la formación y oferta de entrenamiento. Una de las estrategias más importantes en respuesta a situaciones de escasez de profesionales de salud ha sido la disponibilidad para adaptar, ampliar y redistribuir las actividades de los profesionales, de modo que atienda a cambios rápidos. Esta revisión refleja la importancia de que se realicen reformas en las regulaciones profesionales, de forma que se optimice la fuerza de trabajo en salud existente para que esta pueda atender a las demandas de necesidades constantes de la población.A COVID-19 foi classificada como pandemia pela Organização Mundial da Saúde (OMS) em 11 de março de 2020. Diante da sua acelerada propagação, governantes, comunidades e serviços de saúde estão tendo que agir na mesma velocidade para ampliar a capacidade da força de trabalho em saúde. Este estudo objetivou, a partir do método revisão de escopo [scoping review], identificar as principais estratégias relacionadas a medidas de flexibilização de regulações que regem as práticas de profissionais de saúde que vêm sendo adotadas e/ou recomendadas internacionalmente. O estudo seguiu as etapas propostas pelo Instituto Joanna Briggs. Para a construção da questão de pesquisa, utilizou-se o método PCC (população, conceito e contexto). A busca se baseou nas seguintes bases de dados: PubMed, Scopus e Base de Dados da OMS; e na literatura cinzenta. Foram identificados 36 documentos, classificados nas seguintes estratégias: (1) ampliação de escopo de prática; (2) transferência de funções de uma categoria profissional para outra; (3) autorização para atendimento e faturamento via telemedicina; (4) licenciamento e recrutamento de profissionais não ativos; (5) recrutamento de profissionais de outras regiões/estado; (6) mudanças na formação e oferta de treinamento. Uma das estratégias mais importantes em resposta a situações de escassez de profissionais de saúde tem sido e a disponibilidade para adaptar, ampliar e redistribuir as atividades dos profissionais, de modo a atender as rápidas mudanças. Esta revisão reflete a importância em se realizarem reformas nas regulações profissionais de forma a otimizar a força de trabalho em saúde existente para que esta possa atender às demandas constantes de necessidade da população.Reports in Public HealthCadernos de Saúde Pública2022-02-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966Reports in Public Health; Vol. 38 No. 2 (2022): FebruaryCadernos de Saúde Pública; v. 38 n. 2 (2022): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17836https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17837https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17838https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17839Ana Cristina van StralenCristiana Leite CarvalhoSábado Nicolau GirardiAlice Werneck MassoteMariangela Leal Cherchigliainfo:eu-repo/semantics/openAccess2024-03-06T15:30:16Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7966Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:07.753276Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
Estratégias internacionais de flexibilização da regulação da prática de profissionais de saúde em resposta à pandemia da COVID-19: revisão de escopo
title International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
spellingShingle International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
Ana Cristina van Stralen
COVID-19
Pandemics
Health Workforce
Professional Competence
COVID-19
Pandemias
Mão de Obra em Saúde
Competência Profissional
title_short International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
title_full International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
title_fullStr International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
title_full_unstemmed International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
title_sort International strategies for flexibilization of the regulation of health workforce practices in response to the COVID-19 pandemic: a scoping review
author Ana Cristina van Stralen
author_facet Ana Cristina van Stralen
Cristiana Leite Carvalho
Sábado Nicolau Girardi
Alice Werneck Massote
Mariangela Leal Cherchiglia
author_role author
author2 Cristiana Leite Carvalho
Sábado Nicolau Girardi
Alice Werneck Massote
Mariangela Leal Cherchiglia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Ana Cristina van Stralen
Cristiana Leite Carvalho
Sábado Nicolau Girardi
Alice Werneck Massote
Mariangela Leal Cherchiglia
dc.subject.por.fl_str_mv COVID-19
Pandemics
Health Workforce
Professional Competence
COVID-19
Pandemias
Mão de Obra em Saúde
Competência Profissional
topic COVID-19
Pandemics
Health Workforce
Professional Competence
COVID-19
Pandemias
Mão de Obra em Saúde
Competência Profissional
description COVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. Given its rapid spread, governments, communities, and health services are having to act with the same speed to expand their health workforce capacity. Based on the scoping review method, this study aimed to identify the principal strategies related to measures for flexibilization of regulations on healthcare workers’ practices that have been adopted and/or recommended internationally. The study followed the stages proposed by the Joanna Briggs Institute. The research question was developed with the PCC method (population, concept, and context). Searches were performed in PubMed, Scopus, WHO Database, and the gray literature. A total of 36 documents were identified, classified in the following strategies: (1) expansion of scope of practice; (2) shifting of roles from one professional category to another; (3) authorization for patient care and billing via telemedicine; (4) licensing and recruitment of inactive workers; (5) recruitment of workers from other regions/states; and (6) changes in basic training and supply of new training. One of the most important strategies in response to health workforce shortages has been the willingness to adapt, expand, and redistribute workers’ activities to deal with rapid changes. This review reflects the importance of reforms in workforce regulation to optimize the existing health workforce so that it can meet the population’s constant needs and demands.
publishDate 2022
dc.date.none.fl_str_mv 2022-02-23
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17838
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7966/17839
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 38 No. 2 (2022): February
Cadernos de Saúde Pública; v. 38 n. 2 (2022): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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