Universidad Peruana Cayetano Heredia

Private sector contributions and their effect on physician emigration in the developing world

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dc.contributor.author Loh, Lawrence C.
dc.contributor.author Ugarte Gil, Cesar Augusto
dc.contributor.author Darko, Kwame
dc.date.accessioned 2022-01-04T20:29:55Z
dc.date.available 2022-01-04T20:29:55Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10406
dc.description.abstract Objective: To assess the effectiveness of care provided by mid-level health workers. Methods: Experimental and observational studies comparing mid-level health workers and higher level health workers were identified by a systematic review of the scientific literature. The quality of the evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation criteria and data were analysed using Review Manager. Findings: Fifty-three studies, mostly from high-income countries and conducted at tertiary care facilities, were identified. In general, there was no difference between the effectiveness of care provided by mid-level health workers in the areas of maternal and child health and communicable and noncommunicable diseases and that provided by higher level health workers. However, the rates of episiotomy and analgesia use were significantly lower in women giving birth who received care from midwives alone than in those who received care from doctors working in teams with midwives, and women were significantly more satisfied with care from midwives. Overall, the quality of the evidence was low or very low. The search also identified six observational studies, all from Africa, that compared care from clinical officers, surgical technicians or non-physician clinicians with care from doctors. Outcomes were generally similar. Conclusion: No difference between the effectiveness of care provided by mid-level health workers and that provided by higher level health workers was found. However, the quality of the evidence was low. There is a need for studies with a high methodological quality, particularly in Africa – the region with the greatest shortage of health workers. en_US
dc.language.iso eng
dc.publisher World Health Organization
dc.relation.ispartofseries Bulletin of the World Health Organization
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject developing country en_US
dc.subject India en_US
dc.subject migration en_US
dc.subject health care delivery en_US
dc.subject public health service en_US
dc.subject Physicians en_US
dc.subject primary health care en_US
dc.subject health policy en_US
dc.subject developing world en_US
dc.subject Emigration and Immigration en_US
dc.subject health care organization en_US
dc.subject Cross-Cultural Comparison en_US
dc.subject emigration en_US
dc.subject finance en_US
dc.subject Foreign Medical Graduates en_US
dc.subject Ghana en_US
dc.subject health care financing en_US
dc.subject health worker en_US
dc.subject Healthcare Financing en_US
dc.subject Insurance, Health en_US
dc.subject low income population en_US
dc.subject physician income en_US
dc.subject policy making en_US
dc.subject private sector en_US
dc.subject Private Sector en_US
dc.subject professional development en_US
dc.subject Public Sector en_US
dc.subject temporal analysis en_US
dc.title Private sector contributions and their effect on physician emigration in the developing world en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.2471/BLT.12.110791
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.10
dc.relation.issn 1564-0604


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