non-physician clinicians – a gain for physicians’ working in sub-saharan africa; comment on “non-physician clinicians in sub-saharan africa and the evolving role of physicians”
نویسندگان
چکیده
the changing demands on the health sectors in low- and middle-income countries especially sub-saharan african countries continue to challenge efforts to address critical shortages of the health workforce. addressing these challenges have led to the evolution of “non-physician clinicians” (npcs), that assume some physician roles and thus mitigate the continuing shortage of doctors in these countries. while it is agreed that changes are needed in physicians’ roles and their training as part of the new continuum of care that includes npcs, we disagree that such training should be geared solely at ensuring physicians dominated health systems. discussions on the workforce models to suit low-income countries must avoid an endorsement of a culture of physician focused health systems as the only model for sub-saharan africa (ssa). it is also essential that training for npcs be harmonized with that of physicians to clarify the technical roles of both.
منابع مشابه
Non-physician Clinicians – A Gain for Physicians’ Working in Sub-Saharan Africa; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”
The changing demands on the health sectors in low- and middle-income countries especially sub-Saharan African countries continue to challenge efforts to address critical shortages of the health workforce. Addressing these challenges have led to the evolution of “non-physician clinicians” (NPCs), that assume some physician roles and thus mitigate the continuing shortage of doctors in these count...
متن کاملA New Generation of Physicians in Sub-Saharan Africa?; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”
This commentary follows up on an editorial by Eyal and colleagues in which these authors discuss the implications of the emergence of non-physician clinicians (NPCs) on the health labour market for the education of medical doctors. We generally agree with those authors and we want to stress the importance of clarifying the terminology to describe these practitioners and of defining more formall...
متن کاملNon-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians
Responding to critical shortages of physicians, most sub-Saharan countries have scaled up training of nonphysician clinicians (NPCs), resulting in a gradual but decisive shift to NPCs as the cornerstone of healthcare delivery. This development should unfold in parallel with strategic rethinking about the role of physicians and with innovations in physician education and in-service training. In ...
متن کاملIs the Role of Physicians Really Evolving Due to Non-physician Clinicians Predominance in Staff Makeup in Sub-Saharan African Health Systems?; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”
Health workforce shortages in Sub-Saharan Africa are widely recognized, particularly of physicians, leading the training and deployment of Non-physician clinicians (NPCs). The paper by Eyal et al provides interesting and legitimate viewpoints on evolving role of physicians in context of decisive increase of NPCss in Sub-Saharan Africa. Certainly, in short or mid-term, NPCs will continue to be a...
متن کاملHave Non-physician Clinicians Come to Stay?; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”
A decade ago, sub-Saharan Africa accounted for 24% of the global disease burden but was served by only 4% of the global health workforce. The chronic shortage of medical doctors has led other health professionals especially nurses to perform the role of healthcare providers. These health workers have been variously named clinical officers, health officers, physician assistants, nurse practition...
متن کاملDefining Sub-Saharan Africa’s Health Workforce Needs: Going Forwards Quickly Into the Past; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”
Recent proposals for re-defining the roles Africa’s health workforce are a continuation of the discussions that have been held since colonial times. The proposals have centred on basing the continent’s healthcare delivery on non-physician clinicians (NPCs) who can be quickly trained and widely distributed to treat majority of the common diseases. Whilst seemingly logical, the success of these p...
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عنوان ژورنال:
international journal of health policy and managementجلد ۶، شماره ۲، صفحات ۱۱۹-۱۲۱
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