Evidence map›Paper›PMID 28934979›Full record

ArticleHuman resources for health2017

Human resources for health in Peru: recent trends (2007-2013) in the labour market for physicians, nurses and midwives.

M Michelle Jimenez, Anthony L Bui, Eduardo Mantilla, J Jaime Miranda

Abstract read
In one paragraph

Article 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  5. Article
  6. Article
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  9. Article
  10. The implications of COVID-19 for health workforce planning and policy: the case of Peru.The International journal of health planning and management · 2021
    Article
  11. Article
  12. Review
  13. Article
  14. Knowledge of Cervical Cancer Prevention Among Women in Amazonian Peru.Women's health reports (New Rochelle, N.Y.) · 2020
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

M Michelle JimenezCRONICAS Centre of Excellence in Chronic Diseases, Cayetano Heredia University, Av. Armendáriz 497, Miraflores, Lima 18, Peru. jimenezmichelle@yahoo.ca.
Anthony L BuiDavid Geffen School of Medicine at UCLA, Los Angeles, United States of America.
Eduardo MantillaESAN University, Lima, Peru.
J Jaime MirandaCRONICAS Centre of Excellence in Chronic Diseases, Cayetano Heredia University, Av. Armendáriz 497, Miraflores, Lima 18, Peru.

Funding

Latin America Treatment & Innovation Network in Mental Health (LATIN-MH)U19MH098780 · NIMH · FUNDACAO FACULDADE DE MEDICINA · PI ARAYA, RICARDO, MENEZES, PAULO ROSSI · 2013 to 2017
$2.7M
Launching a salt substitute to reduce blood pressure at the population level-PeruU01HL114180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2012 to 2016
$2.0M
Implementation of foot thermometry and SMS to prevent diabetic foot ulcerR21TW009982 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI MIRANDA, J JAIME · 2014 to 2015
$329k
FIC NIH HHS R21 TW009982NHLBI NIH HHS HHSN268200900028CNHLBI NIH HHS U01 HL114180NIMH NIH HHS U19 MH098780Wellcome Trust
6 · The paper itself

Abstract

backgroundMost analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru's recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health's (MOH) system.

methodsData from four different datasets, covering 2007-2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages.

resultsHRH graduates have been increasing from 2007 to 2011, but the proportions that enter employment in the MOH system 2 years later range from 8 to 45% and less than 10% of newly trained medical specialists. Scenario analyses indicate that the gap for physicians and nurses will be met in 2027 and 2024, respectively, while midwives in 2017. However, if the number of HRH graduates entering the MOH system doubles, these gaps could be filled as early as 2020 for physicians and 2019 for nurses. In this latter scenario, the MOH system would still only utilize 56% of newly qualified physicians, 74% of nurses, and 66% of midwives available in the labour market.

conclusionAt 2013 training rates, Peru has the number of physicians, nurses, and midwives it needs to address HRH shortages and meet estimated HRH gaps in the national MOH system during the next decade. However, a significant number of newly qualified health professionals do not work for the MOH system within 2 years of graduation. These analyses highlight the importance of building adequate incentive structures to improve the entry and retention of HRH into the public sector.

Indexed as

Delivery of Health CarePublic SectorDeveloping CountriesEmploymentFemaleHealth PersonnelHealth Services Needs and DemandHumansMidwiferyMotivationNurse MidwivesNursesPeruPhysiciansPregnancyWorkforceHuman resources for healthLabour marketPeru

Identifiers

PMID28934979
PMCPMC5609041

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Registered trials

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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.