The Problems of People-Ware of World Health Care in 1995–2024: Appraisals and Recommendations
Abstract
In 1995-2024, development of health people-ware as the most important resource of health care systems, actively discussed by world community under the WHO leadership. Since 2004, global health people-ware situation is characterized as being in crisis. The significant shortage of personnel is intensifying, first of all in countries with mean and low income. The situation is worsening because of uneven staff distribution, losses due to internal and international migration, shortcomings in staff training and management. About 70% of workers in health care and social care are women who badly need step-up of professional status. Since 2010, movement towards universal health care services coverage started. Since 2011, under leadership of the Russian Federation, struggle with noncommunicable diseases is advanced. The UN "Agenda for Sustainable Development for the period up to 2030" became main guiding document since 2015. The COVID-19 pandemic confirmed key role of health care workers in ensuring population needs in health, as well as global, regional and national security. Since 2023, it is proposed to adapt health people-ware to the post-pandemic situation.