Inequitable distribution of human resources for health: perceptions among Thai healthcare professionals
MetadataShow full item record
This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Quality in Primary Care following peer review. The definitive version, Quality in Primary Care 2010; 18:1 : 49-56, is available online at http://www.ingentaconnect.com/content/rmp/qpc/2010/00000018/00000001/art00007
Background: Effective delivery of health care is dependent on health manpower. In Thailand, an insufficiency of human resources relates to an inequitable distribution of healthcare professionals rather than to insufficiencies overall. Both internal and external factors influence healthcare professionals' choice of where to work, although perceptions rather than actual circumstances are more influential in their decision-making process. This inequitable distribution of healthcare professionals in Thailand affects rural areas and the provision of primary health care. Objectives: To understand the subjective perceptions, attitudes and dynamics among healthcare professionals regarding where they seek employment and the impact on the provision of primary care. Design: Questionnaire survey among Thai healthcare students and professionals and semi-structured interviews with healthcare professionals investigating attitudes and perceptions.Setting: Thai rural, urban and metropolitan areas. Results: An interesting mix of factors influences healthcare professionals with regard to where they seek employment, or continue their employment. Family and community commitments, social status and a sense of belonging were associated with healthcare professionals seeking employment in their province of origin. Tensions are also emerging between preventative and curative health. These tensions, together with financial remuneration and professional development opportunities and promotions, as perceived by healthcare professionals themselves, have implications for current and future healthcare policy. Conclusion: The scaling up of human resources for health in Thailand will not, based on past experiences and attitudes outlined in this research, ensure an equitable distribution of healthcare professionals. Further consideration of these professionals' expectations of being able to work in areas close to their families and of sufficient financial remuneration is required. It is likely that rural regions and the delivery of primary care will be negatively affected by continued inequities. It was also found that current healthcare policies are creating new tensions.
Showing items related by title, author, creator and subject.
A phenomenological study of the health-care related spiritual needs of multicultural Western AustraliansHawley, Georgina (2002)This study was designed to identify the spiritual needs of multicultural Australians with a health problem, in order to understand the educational implications for health care professionals. The rationale for the research ...
Robertson, Mary Eileen (2006)The health industry in Canada, as well as in other industrial countries, has been in the process of reform for many years. While such reform has been attributed to fiscal necessity due to increased health costs, the ...
Diarrheal illness and healthcare seeking behavior among a population at high risk for diarrhea in Dhaka, BangladeshChowdhury, F.; Khan, I.; Patel, S.; Siddiq, A.; Saha, N.; Khan, A.; Saha, A.; Cravioto, A.; Clemens, J.; Qadri, F.; Ali, Mohammed (2015)© 2015 Chowdhury et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the ...