The opinions and perceptions of Sri Lankan physicians

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The void in available literature outline that the importance of the role of healthcare providers has been seemingly underestimated when determining legitimate initiatives for the improvement of healthcare and health outcomes in low to middle-income nations. When documenting key health determinants for a developing country, lack of access to healthcare is included among characteristics of a weak healthcare infrastructure; other characteristics often include undeveloped technology and low education and socio-economic levels in target populations. Common strategies in strengthening healthcare systems, however, usually only include creating hospital centers in rural areas, providing for transportation of patients, and increasing awareness and prevention of disease. There are very few studies that can be found regarding the status of current or future healthcare workers, the availability of workers, or the use of training new, permanent health workers as a resource for improving access to care . Recently, the trend of a diminishing physician population has been identified as a great concern to healthcare systems across the globe. Both developing and developed nations are facing a shortage of physicians and nurses now or in the near future. While developing nations are experiencing a loss of investment in training doctors and nurses as they emigrate to practice in high-income countries, the immigrant physicians do not suffice for reversing the falling ratio of doctors to patients seen even in the developed world 9. Provided with higher pay, better work conditions, and a lower number of patients in upper-income countries, physician retention has become a major concern in countries already experiencing low health expenditures and physici... ... middle of paper ... ...pean Association of Development Research & Training Institutes (EADI) VIIIth General Conference, Vienna September 1996. p. 3 10. Orubuloye, IO, OY Oyeneye. (1982). “Primary health care in developing countries: the case of Nigeria, Sri Lanka and Tanzania.” Soc Sci Med 16: 675-686. 11. Salsberg, E, A Grover. (2006). “Physician workforce shortages: implications and issues for academic health centers and policymakers.” Academic Medicine 81(9): 782-787. 12. Withanachchi, N, A Okitsu, et al. (2007). "Resource allocation in public hospitals: Is it effective?" Health Policy 80(2): 308-13. 13. World Health Organization. "Sri Lanka." World Health Organization. 2012. < http://www.who.int/countries/lka/en/>. 14. Hooker, RS, CM Everett. 2012. “The contributions of physician assistants in primary care systems.” Health and Social Care in the Community 20(1): 20-31.

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