Envisioning the Future of Health Professional Education Workshop Summary (2016) / Chapter Skim
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1 Building the Health Workforce
1 Building the Health Workforce
Pages 13-24
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From page 13... ...
(Kaufman) HEALTH WORKFORCE ISSUES, HEALTH PROFESSIONAL EDUCATION, AND TECHNOLOGY Francisco Eduardo de Campos, M.D., Ph.D., Ms.C.
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But despite these constitutional guarantees to health care, there is no way that the government can assist everyone in tertiary and highly complex systems. The only solution, said Campos, is to strengthen a primary health care system, which can address 80 percent of the health care demand.
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The system is quite decentralized in Brazil and is run by the municipalities that hire local workers to provide primary health care to populations in specific geographic districts that are assigned to them. Figure 1-1 shows the progress between 1998 and 2014 of providing family health teams to the population.
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Some of the proposed policies would include expanding enrollments, changing curricula, improving employment, offering eHealth, providing continuous education, and hiring foreigners. For example, Brazil currently has 13,000 Cuban doctors.
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To facilitate the shift, the Ministry of Health provided funding to all the schools in Brazil interested in changing their curricula. For example, funding could be sought by primary health care centers to obtain meeting space, upgrade facilities, or set up an Internet connection.
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In closing, Campos reiterated that well-educated, motivated, managed health workers are at the core of the health system, and for Brazil, primary health care is the pathway to universal access. But that is not where it ends.
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. Kaufman raised the question of how to reallocate the 18–20 percent of the gross domestic product currently spent on health care toward upstream resources that actually improve health.
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Their solution was to recruit and train locally so the health workers would be members of their community and would stay on the reservation to provide ongoing care to their neighbors. Through collaboration with the cooperative extension workers, the university's health extension agents were able to build such a program for educating, training, and placing local health professionals.
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This was now possible under the new U.S. health care law, the Patient Protection and Affordable Care Act, because for the first time, instead of managed care focusing on containing hospital costs, it was supporting upstream prevention efforts.
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These are the sorts of issues the CHWs can address along with all the other social determinants, as well as patient medication compliance. Kaufman closed by going back to the University of New Mexico Health Sciences Center's vision to make significant progress in health and health equity.
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2015. Health workforce issues, health professional education, and technology.
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and GHWA (Global Health Workforce Alliance) Secre tariat.
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