دورية أكاديمية
Posting and Transfer: the experiences of public sector doctors in two Indian states.
| العنوان: | Posting and Transfer: the experiences of public sector doctors in two Indian states. |
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| المؤلفون: | Purohit B; Indian Institute of Public Health Gandhinagar (IIPHG), Opposite Airforce Head Quartes, Gandhinagar, Gujarat 382042, India.; Faculty of Law and Business, Peter Faber Business School, Australian Catholic University, Tenison Woods House, 8-20 Napier Street, North Sydney, NSW 2060, Australia.; Faculty of Medicine, School of Public Health, The University of Queensland, 288 Herston Road, Herston, QLD 4006, Australia., Hill PS; Faculty of Medicine, School of Public Health, The University of Queensland, 288 Herston Road, Herston, QLD 4006, Australia. |
| المصدر: | Health policy and planning [Health Policy Plan] 2023 Nov 28; Vol. 38 (10), pp. 1121-1130. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press in association with the London School of Hygiene and Tropical Medicine Country of Publication: England NLM ID: 8610614 Publication Model: Print Cited Medium: Internet ISSN: 1460-2237 (Electronic) Linking ISSN: 02681080 NLM ISO Abbreviation: Health Policy Plan |
| أسماء مطبوعة: | Original Publication: [Oxford] : Oxford University Press in association with the London School of Hygiene and Tropical Medicine, c1986- |
| مواضيع طبية MeSH: | Public Sector* , Physicians*, Humans ; Health Personnel ; Health Policy ; Health Workforce |
| مستخلص: | Posting and Transfer (PT) refers to deployment of the health workforce in ways that ensure appropriate numbers and distribution. Although PT is a crucial aspect of health workforce governance, it remains under-researched from the viewpoint of implementation, health workforce and governance. The aim of this paper is to examine public sector doctors' experience of their initial postings, in the context of local policy from two Indian states. We carried out a review search for policy documentation. A total 61 in-depth interviews were conducted in both states with 33 doctors, as subjects of the study. There were 28 key informant (KI) interviews of health administrators and other policy actors to understand their perspectives of PT policies and implementation. Thematic analysis was used to analyse data. Job histories were constructed from the doctors' interviews to track their experience with the PT system, and analysed using location, duration and postings. Despite search for state policy for PT, we were unable to identify any policy documentation. However, participants referred to PT practices that suggested expectations of what the poliy meant to them. These expectations were corroborated by KI, and the job histories and interview data enabled the authors to construct a series of norms, interpreted as evidence of implied policy. The main norms identified relate to service need, native place, request, gender and posting duration. The norm related to state need had strong face validity, while other norms based on request, gender and duration were less consistent in application. In the absence of documented policies, the construction of norms from the qualitative data proved useful to examine the dynamics of health workers' interactions with the initial PT systems This construction of norms provides a methodological innovation allowing health policy and systems researchers to compensate for the absence of documented policy in exploring PT functions. (© The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
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| معلومات مُعتمدة: | Public Health Research Institute and DST |
| فهرسة مساهمة: | Keywords: Undocumented policy; health workforce; norms; posting; transfer |
| تواريخ الأحداث: | Date Created: 20230504 Date Completed: 20231129 Latest Revision: 20231201 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10684983 |
| DOI: | 10.1093/heapol/czad031 |
| PMID: | 37140240 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1460-2237 |
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| DOI: | 10.1093/heapol/czad031 |