Human Resources for Health

Impoverished countries face what has been termed a human resource crisis. Decades of under-resourced training programs, low public sector wages, and poor working conditions have led to shortages of health workers and the underperformance of staff where the burden of disease is the highest. In this chapter, the causes of the human resource crisis are explained and the gaps in training and retention of personnel are described. The chapter outlines new programs, such as the Medical Education Partnership Initiative (MEPI), Nursing Education Partnership Initiative (NEPI), and the Rwanda government’s national Human Resources for Health program. All of these programs are working with governments to increase the numbers of health professionals trained and improve their clinical capacity through long-term training and mentorship.

Hivatással és hálapénzzel kapcsolatos vélekedések a magyarországi családorvosok és családorvos rezidensek körében

Introduction: The changing of the family medicine can be observed in the New Millennium. Migration, the aging of the healers and informal payment are crucial to the human resource crisis of the health sector. Aim: The aim of this study was to investigate the family physicians’ and residents’ opinions about the vocation and informal payment. Method: Exploratory, quantitative study was carried out among family physicians (n = 363) and family physician residents (n = 180). The central questions of the study were the vocation, the income and the informal payment. Results: The most decisive factors of the carrier choice were altruism, service and responsibility. Residents were significantly rejective (19.7% vs. 38.3%, p<0.001) about informal payment. They would accept smaller amounts of informal payment (14.3% vs. 8.9%, p<0.034), and would spend it on praxis development (1.4% vs.9.4% p<0.023). Conclusions: The attitudes of family physicians and residents are the same in case of the vocation, but on the issue of informal payment, the two generations have different opinions. Orv. Hetil., 2016, 157(36), 1438–1444.