WHO 2010 Global Policy Recommendations Interpretation: Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention_Chinese Journal of Evidence-Based Medicine

Authors：

Evidence-Based Medicine Center, Chinese Center of GRADE Working Group, Lanzhou University, Lanzhou 730000, China;

Corresponding author：

Keywords：

Health workforce; Rural and remote area; GRADE system; Policy guideline; Evidence-based decision-making

DOI：

10.7507/1672-2531.20130179

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The shortage of health workforce in rural and remote areas has been commonly concerned by every country around the word. It is one of world health issues, challenging the aspirations of achieving equity. In this regard, WHO developed the Global Policy Recommendations to improve the accessibility of the health workforce in rural and remote areas through improved retention. This article focuses on the key steps of the policy guideline developed from evidence-based medicine methodology and from angle of guideline development, mainly about background, issues, evidence retrieval and selection, quality grading of evidence, and the forming of recommendation plan, in order to further explore how to correctly understand, obtain, evaluate and apply currently available research evidence, and how to use the GRADE system to make scientific and feasible recommendations in the decision-making process, emphasizing the importance of evidence and the GRADE system in the evidence-based health decision-making.

Citation： LI Xiuxia,CHEN Yaolong,WANG Xiaoqin,WU Qiongfang,WANG Qi,WEI Dang,YAO Liang,ZHANG Zongjiu,YANG Kehu. WHO 2010 Global Policy Recommendations Interpretation: Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention. Chinese Journal of Evidence-Based Medicine, 2013, 13(9): 1037-1042. doi: 10.7507/1672-2531.20130179 Copy

1.	WHO. Increasing access to health workers in remote and rural areas through improved retention: Global policy recommendations. 2010. WHO Press, World Health Organization. 20 Avenue Appia, 1211 Geneva 27, Switzerland.
2.	http://www.who.int/rpc/guidelines/en/ [2013-01-07].
3.	刘晓云. 吸引和留住农村卫生人力的国际经验及启示. 中国卫生政策研究, 2012, 5(10): 33-8.
4.	WHO handbook for guideline development. World Health Organization. 2010. Available at: http://www.who.int/hiv/topics/mtct/grc_handbook_mar2010_1.pdf.
5.	The world health report 2006 – Working together for health. Geneva, World Health Organization. 2006.
6.	World Urbanization Prospects: The 2007 Revision Population Database. New York. NY, United Nations Department of Economic and Social Affairs. 2008.
7.	Grobler L, Marais BJ, Mabunda SA, et al. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database Syst Rev, 2009, (1): CD005314.
8.	Wilson NW, Couper ID, De Vries E, et al. A critical review of interventions to redress the inequitable distribution of healthcare professionals to rural and remote areas. Rural Remote Health, 2009, 9(2): 1060.
9.	Gruen RL, Weeramanthri TS, Knight SE, et al. Specialist outreach clinics in primary care and rural hospital settings. Cochrane Database Syst Rev, 2004, (1): CD003798.
10.	Bärnighausen T, Bloom DE. Financial incentives for return of service in underserved areas: a systematic review. BMC Health Serv Res, 2009, 9: 86.
11.	Frehywot S, et al. Compulsory service programme as a means of deploying and retaining health workers in rural, remote and underserved areas – a global analysis. World Health Organization. 2010.
12.	Dieleman M, et al. Realist review and synthesis on retention studies for health workers in rural and remote areas. Geneva, World Health Organization. 2010.
13.	De Roodenbeke E, et al. Outreach services as a strategy to increase access to health workers in remote and rural areas. Geneva, World Health Organization. 2010.
14.	http://www.gradeworkinggroup.org. [2013-01-14].
15.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
16.	李幼平, 王莉, 文进, 等. 注重证据，循证决策. 中国循证医学杂志, 2008, 8(1): 1-3.
17.	Moat KA, Lavis JN, Wilson MG, et al. Twelve myths about systematic reviews for health system policymaking rebutted. J Health Serv Res Policy, 2013, 18(1): 44-50.
18.	陈耀龙, 杨克虎, 姚亮, 等. GRADE系统方法学进展. 中国循证儿科杂志, 2013, 8(1): 1-2.
19.	Bosch-Capblanch X. Handbook for Supporting the Development of Health System Guidance. Basel: Swiss Centre for International Health. 2011.

1. WHO. Increasing access to health workers in remote and rural areas through improved retention: Global policy recommendations. 2010. WHO Press, World Health Organization. 20 Avenue Appia, 1211 Geneva 27, Switzerland.
2. http://www.who.int/rpc/guidelines/en/ [2013-01-07].
3. 刘晓云. 吸引和留住农村卫生人力的国际经验及启示. 中国卫生政策研究, 2012, 5(10): 33-8.
4. WHO handbook for guideline development. World Health Organization. 2010. Available at: http://www.who.int/hiv/topics/mtct/grc_handbook_mar2010_1.pdf.
5. The world health report 2006 – Working together for health. Geneva, World Health Organization. 2006.
6. World Urbanization Prospects: The 2007 Revision Population Database. New York. NY, United Nations Department of Economic and Social Affairs. 2008.
7. Grobler L, Marais BJ, Mabunda SA, et al. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database Syst Rev, 2009, (1): CD005314.
8. Wilson NW, Couper ID, De Vries E, et al. A critical review of interventions to redress the inequitable distribution of healthcare professionals to rural and remote areas. Rural Remote Health, 2009, 9(2): 1060.
9. Gruen RL, Weeramanthri TS, Knight SE, et al. Specialist outreach clinics in primary care and rural hospital settings. Cochrane Database Syst Rev, 2004, (1): CD003798.
10. Bärnighausen T, Bloom DE. Financial incentives for return of service in underserved areas: a systematic review. BMC Health Serv Res, 2009, 9: 86.
11. Frehywot S, et al. Compulsory service programme as a means of deploying and retaining health workers in rural, remote and underserved areas – a global analysis. World Health Organization. 2010.
12. Dieleman M, et al. Realist review and synthesis on retention studies for health workers in rural and remote areas. Geneva, World Health Organization. 2010.
13. De Roodenbeke E, et al. Outreach services as a strategy to increase access to health workers in remote and rural areas. Geneva, World Health Organization. 2010.
14. http://www.gradeworkinggroup.org. [2013-01-14].
15. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
16. 李幼平, 王莉, 文进, 等. 注重证据，循证决策. 中国循证医学杂志, 2008, 8(1): 1-3.
17. Moat KA, Lavis JN, Wilson MG, et al. Twelve myths about systematic reviews for health system policymaking rebutted. J Health Serv Res Policy, 2013, 18(1): 44-50.
18. 陈耀龙, 杨克虎, 姚亮, 等. GRADE系统方法学进展. 中国循证儿科杂志, 2013, 8(1): 1-2.
19. Bosch-Capblanch X. Handbook for Supporting the Development of Health System Guidance. Basel: Swiss Centre for International Health. 2011.

Chinese Journal of Evidence-Based Medicine

WHO 2010 Global Policy Recommendations Interpretation: Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention

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