Changes in the availability of human resources in health of Peru
Keywords:
workforce, health personnel, health workforce, health services.Abstract
Introduction: Human resources are a fundamental element in the health system, their equitable distribution is essential to guarantee the attention of the health needs of a population.Objective: To describe the changes in the availability of human resources in health of the Ministry of Health and regional governments of Peru, during the 2017-2019 triennium.
Methods: Non-experimental and retrospective study, based on secondary sources, which corresponded to the latest reports of the National Registry of Health Personnel of the Ministry of Health from 2017 to 2019. The availability of doctors, obstetricians and nurses who worked in health facilities, who correspond to different professions, according to the Peruvian regulatory framework. Absolute and relative frequencies were estimated.
Results: The availability of doctors increased by 11.4%, obstetricians by 9.8% and nurses by 15.8%, from 2017 to 2019. In the first level of care, the availability of human resources in health is increased by 7.7%; Furthermore, in extreme poverty areas there was a 6.8% reduction in the
number of doctors, a 4.4% increase in obstetricians in rural areas. Nurses were the fastest growing in the three natural regions of Peru.
Conclusions: The availability of human resources in health increases for the year 2019 compared to 2017, in addition, nurses are the ones that present a greater percentage increase in this period.
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References
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2. García H, Díaz P, Ávila D, Cuzco M. La reforma del sector salud y los recursos humanos en salud. An Fac Med. 2015[acceso: 20/08/2020]; 76:7-26. Disponible en: https://dx.doi.org/10.15381/anales.v76i1.10966
3. Dussault G. Investigación en Recursos Humanos para la Salud. Rev Esc Enferm USP. 2015[acceso: 20/08/2020];49(Esp2):5-6. Disponible en: https://doi.org/10.1590/S0080-623420150000800001
4. Reid M, Gupta R, Roberts G, Goosby E, Wesson P. Achieving Universal Health Coverage (UHC): Dominance analysis across 183 countries highlights importance of strengthening health workforce. PLoS ONE. 2020[acceso: 24/08/2020];15(3):e0229666. Disponible en: https://doi.org/10.1371/journal.pone.0229666
5. Terranova-Veliz L, Reluz-Salazar O, Osada-Liy J. Asistencia y disponibilidad de los recursos humanos en salud de establecimientos de salud, Chiclayo 2015. Rev. Cuerpo Méd. HNAAA. 2018[acceso: 28/08/2020];11(1):24-30. Disponible en: https://doi.org/10.35434/rcmhnaaa.2018.111.54
6. World Health Organization. Health workforce requirements for universal health coverage and the Sustainable Development Goals. Ginebra: WHO; 2016. [acceso: 30/08/2020]. Disponible en: https://www.who.int/hrh/resources/health-observer17/en/
7. Alcalde-Rabanal J, Lazo-Gonzales O, Nigenda G. Sistema de salud de Perú. Salud Pública Mex. 2011[acceso: 02/09/2020];53(2):S243-S254. Disponible en: https://www.scielo.org.mx/pdf/spm/v53s2/19.pdf
8. Ministerio de Salud. Análisis de la situación de salud del Perú. Dirección General de Epidemiología. Lima: ASKHA E.I.R.L; 2013. [acceso: 08/09/2020]. Disponible en: https://www.dge.gob.pe/portal/docs/intsan/asis2012.pdf
9. Inga-Berrospi F, Arosquipa C. Avances en el desarrollo de los recursos humanos en salud en el Perú y su importancia en la calidad de atención. Rev Perú Med Exp Salud Pública. 2019[acceso: 10/09/2020];36(2):312-8. Disponible en: https://dx.doi.org/10.17843/rpmesp.2019.362.4493
10. Ministerio de Salud. Compendio estadístico: Información de recursos humanos del sector salud, Perú 2013 - 2018. Lima: Dirección General de Personal de la Salud, Observatorio de Recursos Humanos en Salud; 2019. [acceso: 08/09/2020]. Disponible en: https://bvs.minsa.gob.pe/local/MINSA/10896.pdf
11. Perdomo I, Matínez D, González L, Díaz M, Farrill M, Paredes E. Desarrollo de recursos humanos para la gestión de sistema y servicios en la atención primaria de salud. Rev Cubana Med Gen Integr. 2015[acceso: 10/09/2020];31(3): [aprox. 10 pant.]. Disponible en: https://revmgi.sld.cu/index.php/mgi/article/view/69/27
12. Ministerio de Salud. Base de datos INFORHUS. Lima: Dirección General de Personal de la Salud; 2020. [acceso: 10/09/2020]. Disponible en: https://digep.minsa.gob.pe/bdatos.html
13. Sousa A, Dal Poz MR, Carvalho CL. Monitoring inequalities in the health workforce: the case study of Brazil 1991-2005. PloS one. 2012[acceso: 12/09/2020]; 7(3):e33399. https://doi.org/10.1371/journal.pone.0033399
14. De Oliveira AP, Dussault G, Craveiro I. Challenges and strategies to improve the availability and geographic accessibility of physicians in Portugal. Hum Resour Health. 2017[acceso: 13/09/2020];15(1):24. Disponible en: https://doi.org/10.1186/s12960-017-0194-3
15. Song S, Yuan B, Zhang L, Cheng G, Zhu W, Hou Z, et al. Increased Inequalities in Health Resource and Access to Health Care in Rural China. Int. J. Environ. Res. Public Health. 2018[acceso: 20/09/2020];16(1):49. Disponbile en: https://doi.org/10.3390/ijerph16010049
16. Douthit N, Kiv S, Dwolatzky T, Biswas S. Exposing some important barriers to health care access in the rural USA. Public Health. 2015[acceso: 28/09/2020];129(6):611-620. Disponible en: https://doi.org/10.1016/j.puhe.2015.04.001
17. Seshadri SR, Parab S, Kotte S, Latha N, Subbiah K. Decentralization and decision space in the health sector: a case study from Karnataka, India. Health Policy Plan. 2016 [acceso: 03/10/2020];31(2):171-81. Disponible en: https://doi.org/10.1093/heapol/czv034
18. Zhang T, Xu Y, Ren J, Sun L, Liu C. Inequality in the distribution of health resources and health services in China: hospitals versus primary care institutions. Int J Equity Health. 2017[acceso: 04/10/2020];16(1):42. Disponible en: https://doi.org/10.1186/s12939-017-0543-9
Published
2021-02-27
How to Cite
1.
Barja-Ore J, Valverde-Espinoza N, Fiestas Requena KN, Aguilar-Aguilar S. Changes in the availability of human resources in health of Peru. Rev Cubana Med Milit [Internet]. 2021 Feb. 27 [cited 2025 Apr. 2];50(1):e02101069. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1069
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