Observational studyHuman resources for health2017
The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico.
Observational study in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- No Two Workforces Are the Same: A Systematic Review of Enumerations and Definitions of Public Health Workforces.Frontiers in public health · 2020Pooled it
- Travelling for abortion services in Mexico 2016-2019: community-level contexts of Mexico City public abortion clients.BMJ sexual & reproductive health · 2022Article
- Organizational structure and human agency within the South African health system: a qualitative case study of health promotion.Health policy and planning · 2021Article
- [Sustainability of the Healthy Municipalities strategy in GuatemalaSustentabilidade da estratégia de Municípios Saudáveis na Guatemala].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Sustainability of the Healthy Municipalities Strategy in Guatemala.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Gender inequality in the health workforce in the midst of achieving universal health coverage in Mexico.Human resources for health · 2020Observational
- Implementing without guidelines, learning at the coalface: a case study of health promoters in an era of community health workers in South Africa.Health research policy and systems · 2020Article
- The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study.International journal of environmental research and public health · 2019Article
- Mobile health and the performance of maternal health care workers in low- and middle-income countries: A realist review.International journal of care coordination · 2018Article
- [The process of health sector reform in PeruProcesso de reforma da saúde no Peru].Revista panamericana de salud publica = Pan American journal of public health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe purpose of this study was to estimate the gap between the available and the ideal supply of human resources (physicians, nurses, and health promoters) to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico.
methodsWe conducted a cross-sectional observational study using a convenience sample. We selected 20 primary health facilities in urban and rural areas in 10 states of Mexico. We calculated the available and the ideal supply of human resources in these facilities using estimates of time available, used, and required to deliver health prevention and promotion services. We performed descriptive statistics and bivariate hypothesis testing using Wilcoxon and Friedman tests. Finally, we conducted a sensitivity analysis to test whether the non-normal distribution of our time variables biased estimation of available and ideal supply of human resources.
resultsThe comparison between available and ideal supply for urban and rural primary health care facilities reveals a low supply of physicians. On average, primary health care facilities are lacking five physicians when they were estimated with time used and nine if they were estimated with time required (P < 0.05). No difference was observed between available and ideal supply of nurses in either urban or rural primary health care facilities. There is a shortage of health promoters in urban primary health facilities (P < 0.05).
conclusionThe available supply of physicians and health promoters is lower than the ideal supply to deliver the guaranteed package of prevention and health promotion services. Policies must address the level and distribution of human resources in primary health facilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.