Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989 |
Resumo: | The study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru. In-depth interviews were performed with 80 physicians, obstetricians, nurses, and nurse technicians in the poorest areas (20 per group), plus 11 health managers. Ayacucho lacks systematic policies for attracting and retaining human resources. The main incentives, in order of relevance, were higher wages, opportunities for further training, longer/permanent contracts, better infrastructure and medical equipment, and more staff. Interviewees also mentioned improved housing conditions and food, the opportunity to be closer to family, and recognition by the health system. Health workers and policymakers share perceptions on key incentives to encourage work in rural areas. However, there are also singularities to be considered when designing specific strategies. Public initiatives thus need to be monitored and evaluated closely in order to ensure the intended impact. |
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Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativoRecursos Humanos en SaludPoblación RuralPaíses en DesarrolloThe study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru. In-depth interviews were performed with 80 physicians, obstetricians, nurses, and nurse technicians in the poorest areas (20 per group), plus 11 health managers. Ayacucho lacks systematic policies for attracting and retaining human resources. The main incentives, in order of relevance, were higher wages, opportunities for further training, longer/permanent contracts, better infrastructure and medical equipment, and more staff. Interviewees also mentioned improved housing conditions and food, the opportunity to be closer to family, and recognition by the health system. Health workers and policymakers share perceptions on key incentives to encourage work in rural areas. However, there are also singularities to be considered when designing specific strategies. Public initiatives thus need to be monitored and evaluated closely in order to ensure the intended impact.El objetivo fue identificar incentivos de atracción y retención en zonas rurales y distantes de Ayacucho, Perú. Fueron realizadas entrevistas en profundidad con 80 médicos, enfermeras, obstetras y técnicos (20 por grupo) de las zonas más pobres y con 11 funcionarios. No existen políticas sistemáticas de atracción y retención de personal de salud en Ayacucho. Los principales incentivos, en orden de importancia, fueron mejoras salariales, oportunidades de formación y capacitación, estabilidad laboral y nombramiento, mejoras en infraestructura y equipos, e incremento del personal. Se mencionaron también mejoras en la vivienda y alimentación, mayor cercanía con la familia y reconocimiento por el sistema de salud. Existen coincidencias y singularidades entre los distintos grupos sobre los incentivos clave para estimular el trabajo rural, que deben considerarse al diseñar políticas públicas. Las iniciativas del Estado deben comprender procesos rigurosos de monitoreo y evaluación, para asegurar que las mismas tengan el impacto deseado.Reports in Public HealthCadernos de Saúde Pública2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989Reports in Public Health; Vol. 28 No. 4 (2012): 4Cadernos de Saúde Pública; v. 28 n. 4 (2012): 41678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989/10199https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989/10200Huicho, LuisCanseco, Francisco DíezLema, ClaudiaMiranda, J. JaimeLescano, Andrés G.info:eu-repo/semantics/openAccess2024-03-06T15:28:27Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4989Revistahttps://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:2024-03-06T13:05:44.840494Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
title |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
spellingShingle |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo Huicho, Luis Recursos Humanos en Salud Población Rural Países en Desarrollo |
title_short |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
title_full |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
title_fullStr |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
title_full_unstemmed |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
title_sort |
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo |
author |
Huicho, Luis |
author_facet |
Huicho, Luis Canseco, Francisco Díez Lema, Claudia Miranda, J. Jaime Lescano, Andrés G. |
author_role |
author |
author2 |
Canseco, Francisco Díez Lema, Claudia Miranda, J. Jaime Lescano, Andrés G. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Huicho, Luis Canseco, Francisco Díez Lema, Claudia Miranda, J. Jaime Lescano, Andrés G. |
dc.subject.por.fl_str_mv |
Recursos Humanos en Salud Población Rural Países en Desarrollo |
topic |
Recursos Humanos en Salud Población Rural Países en Desarrollo |
description |
The study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru. In-depth interviews were performed with 80 physicians, obstetricians, nurses, and nurse technicians in the poorest areas (20 per group), plus 11 health managers. Ayacucho lacks systematic policies for attracting and retaining human resources. The main incentives, in order of relevance, were higher wages, opportunities for further training, longer/permanent contracts, better infrastructure and medical equipment, and more staff. Interviewees also mentioned improved housing conditions and food, the opportunity to be closer to family, and recognition by the health system. Health workers and policymakers share perceptions on key incentives to encourage work in rural areas. However, there are also singularities to be considered when designing specific strategies. Public initiatives thus need to be monitored and evaluated closely in order to ensure the intended impact. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989/10199 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4989/10200 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
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. 28 No. 4 (2012): 4 Cadernos de Saúde Pública; v. 28 n. 4 (2012): 4 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
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 |
_version_ |
1816705365935390720 |