Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters
Abstract Recent studies reveal public-sector healthcare providers in low- and middle-income countries (LMICs) are frequently absent from work, solicit informal payments for service delivery, and engage in disrespectful or abusive treatment of patients. While extrinsic factors may foster and facilita...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Human Resources for Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12960-019-0426-9 |
| _version_ | 1818620341294989312 |
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| author | Katherine Tumlinson Dilshad Jaff Barbara Stilwell Dickens Otieno Onyango Kenneth L. Leonard |
| author_facet | Katherine Tumlinson Dilshad Jaff Barbara Stilwell Dickens Otieno Onyango Kenneth L. Leonard |
| author_sort | Katherine Tumlinson |
| collection | DOAJ |
| description | Abstract Recent studies reveal public-sector healthcare providers in low- and middle-income countries (LMICs) are frequently absent from work, solicit informal payments for service delivery, and engage in disrespectful or abusive treatment of patients. While extrinsic factors may foster and facilitate these negative practices, it is not often feasible to alter the external environment in low-resource settings. In contrast, healthcare professionals with strong intrinsic motivation and a desire to serve the needs of their community are less likely to engage in these negative behaviors and may draw upon internal incentives to deliver a high quality of care. Reforming medical education admission and training practices in LMICs is one promising strategy for increasing the prevalence of medical professionals with strong intrinsic motivation. |
| first_indexed | 2024-12-16T17:51:50Z |
| format | Article |
| id | doaj.art-20b188b499c7423e983e74608d0d76a8 |
| institution | Directory Open Access Journal |
| issn | 1478-4491 |
| language | English |
| last_indexed | 2024-12-16T17:51:50Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Human Resources for Health |
| spelling | doaj.art-20b188b499c7423e983e74608d0d76a82022-12-21T22:22:16ZengBMCHuman Resources for Health1478-44912019-12-011711610.1186/s12960-019-0426-9Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it mattersKatherine Tumlinson0Dilshad Jaff1Barbara Stilwell2Dickens Otieno Onyango3Kenneth L. Leonard4Department of Maternal and Child Health, Gillings School of Global Public Health, The University of North Carolina at Chapel HillDepartment of Maternal and Child Health, Gillings School of Global Public Health, The University of North Carolina at Chapel HillNursing NowKisumu County Health DepartmentCollege of Agriculture and Natural Resources, University of MarylandAbstract Recent studies reveal public-sector healthcare providers in low- and middle-income countries (LMICs) are frequently absent from work, solicit informal payments for service delivery, and engage in disrespectful or abusive treatment of patients. While extrinsic factors may foster and facilitate these negative practices, it is not often feasible to alter the external environment in low-resource settings. In contrast, healthcare professionals with strong intrinsic motivation and a desire to serve the needs of their community are less likely to engage in these negative behaviors and may draw upon internal incentives to deliver a high quality of care. Reforming medical education admission and training practices in LMICs is one promising strategy for increasing the prevalence of medical professionals with strong intrinsic motivation.https://doi.org/10.1186/s12960-019-0426-9Quality of careHealthcare provider performanceHealthcare provider motivationHealth system reformLow- and middle-income countries |
| spellingShingle | Katherine Tumlinson Dilshad Jaff Barbara Stilwell Dickens Otieno Onyango Kenneth L. Leonard Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters Human Resources for Health Quality of care Healthcare provider performance Healthcare provider motivation Health system reform Low- and middle-income countries |
| title | Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters |
| title_full | Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters |
| title_fullStr | Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters |
| title_full_unstemmed | Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters |
| title_short | Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters |
| title_sort | reforming medical education admission and training in low and middle income countries who gets admitted and why it matters |
| topic | Quality of care Healthcare provider performance Healthcare provider motivation Health system reform Low- and middle-income countries |
| url | https://doi.org/10.1186/s12960-019-0426-9 |
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