Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo

Detalhes bibliográficos
Autor(a) principal: Huicho, Luis
Data de Publicação: 2012
Outros Autores: Canseco, Francisco Díez, Lema, Claudia, Miranda, J. Jaime, Lescano, Andrés G.
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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spelling 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
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