国家报告文书(2024年)

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Background

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2010年第六十三届世界卫生大会(WHA63.16号决议)通过的《世界卫生组织全球卫生人员国际招聘行为守则》(以下简称《守则》)意在加强数据、信息和国际合作,从而加强对卫生人员国际招聘的了解和道德管理。

《守则》第7条鼓励世卫组织会员国交换与卫生人员国际招聘和移民有关的信息。根据授权,世卫组织总干事每三年向世界卫生大会提交一次报告。

世卫组织会员国已于2022年5月完成第四轮国家报告。世卫组织总干事已于2022年5月向第七十五届世界卫生大会报告了《守则》的执行进展情况(A75/14)。 第四轮报告强调,在COVID-19大流行导致脆弱性增加的背景下,有必要评估卫生人员向国外移民所产生的影响。为此,重新召集了《守则》相关性和有效性专家咨询小组(A73/9)。根据专家咨询小组的建议,秘书处公布了 “2023年世卫组织卫生人力支持和保障措施受益国名单”

本国家报告文书是一个以国家为基础、用于信息交流和监测《守则》执行情况的自评工具。它使世卫组织能够收集和分享关于卫生人员国际招聘和移民的现有证据和信息。第五轮国家报告的结果将于2025年1月提交执行委员会(执委会第一五六届会议),以便为举行第七十八届世界卫生大会做准备。

提交报告的截止日期为2024年8月31日。

《守则》第9条授权世卫组织总干事定期向世界卫生大会报告对《守则》在实现其既定目标方面的有效性的审查情况,并提出改进建议。世卫组织将在2024年召集一个由会员国牵头的专家咨询小组,以便对《守则》进行第三次审查。审查报告将提交第七十八届世界卫生大会。

如对填写在线问卷有任何疑问或需要说明,请通过 WHOGlobalCode@who.int与我们联系。

什么是世卫组织《全球卫生人员国际招聘行为守则》?

免责声明: 通过国家报告文书收集的数据和信息将在第七十八届世界卫生大会之后通过国家报告文书数据库(https://www.who.int/teams/health-workforce/migration/practice/reports-database)公开提供。定量数据将用于为国家卫生人力账户数据门户网站(http://www.apps.who.int/nhwaportal/)提供信息。
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Disclaimer

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[1] Note: Case-based facility data collection as that in the WHO Global Bum Registry does not require WHO Member State approval.
[2] The world health report 2013: research for universal coverage. Geneva: World Health Organization; 2013 (http://apps.who.int/iris/bitstream/10665/85761/2/9789240690837_eng.pdf)
[3] WHO statement on public disclosure of clinical trial results: Geneva: World Health Organization; 2015 (http://www.who.int/ictrp/results/en/, accessed 21 February 2018).
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
我已閱讀並理解世衛組織關於在突發公共衛生事件之外在會員國使用和共享世衛組織收集的數據的政策
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Contact Details

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会员国名称:
Lithuania
指定国家主管部门的名称:
State Accreditation Service for Health Care Activities
在指定国家主管部门内的职务:
Division of Specialist Activities
指定国家主管部门的机构:
State Accreditation Authority for Health Care under the Ministry of Health of the Republic of Lithuania
电子邮件:
riginao@who.int,agne.raukstiene@vaspvt.gov.lt,vaspvt@vaspvt.gov.lt,WHOGlobalCode@who.int
电话号码:
+370 653 06363
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Contemporary issues

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Hide [NRIxI] 标有* 号的问题为必须回答的问题。 在回答所有必须回答的问题之前,系统将不允许提交。
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关于卫生人员移民和流动的当代问题
Hide [Q1x1] 1.1 在过去3年中, 卫生人员国际征聘问题是否为贵国关注的问题?
否,我国没有这一问题

Hide [Q1x2] 1.2 在过去3年中,对卫生人员的国际依赖(需要在国际上招聘卫生人员来满足国内需求)是否成为贵国关注的问题?
否,我国没有这一问题

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Health Personnel Education

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卫生人员教育、就业和卫生系统可持续性
Hide [Q2] 2. 贵国是否在为教育、雇用和保留一支适合贵国具体情况(包括最需要的领域)的卫生和照护人员队伍采取措施?
Hide [Q2x1] 请从下面列表中勾选所有适用选项:
2.1 为确保卫生和照护人员队伍的可持续性 采取的措施
2.2 为留住卫生和照护人员队伍以及解决其地域分布不均问题而采取的措施*
2.3 其他适合贵国具体情况的教育、招聘和留用卫生和照护人员队伍的相关措施
Hide [Q2x1x1] 2.1.1 为确保卫生和照护人员队伍的可持续性 采取的措施
预测卫生和照护人员队伍的未来需求,为制定计划提供参考
The Ministry of Health has developed an action plan for the years 2024-2029 aimed at reducing the uneven distribution of healthcare professionals nationwide and addressing shortages of certain professional qualifications and specializations in the healthcare sector. The action plan outlines the following measures: 1. Monitoring of Healthcare Workforce: Implementation of systems to track and monitor the shortage, training, distribution, and recruitment of healthcare professionals. 2. Improvement of Forecasting and Planning: Enhancements in forecasting and planning for healthcare workforce needs. 3. Empowerment, Recruitment, and Retention: Strategies to empower, attract, and retain healthcare professionals. It is planned to prepare an overview of the current situation of health human resources management in Lithuania, analyze best practices from foreign countries, and provide recommendations for human resources management, demand forecasting, inclusion, retention, improvement, and more. Based on these documents, a long-term health human resources management strategy (up to 2030) would be developed and approved at the national level.
使国内卫生和照护人员队伍的教育与卫生系统的需要相一致
Planned Investments in Training and Professional Development. A budget of 30.7 million euros has been allocated for healthcare professionals recruitment measures from the 2021-2027 European Union funds investment program. These funds will be directed towards: • Enhancing Human Resources Management Efficiency: Improving the efficiency of healthcare human resources management. • Financing Study Costs: Covering the costs of healthcare education. • Empowerment, Recruitment, and Retention Models: Developing and implementing models for the empowerment, recruitment, and retention of healthcare professionals within healthcare institutions. • Increasing Prestige and Professional Orientation: Elevating the prestige and professional orientation of the most critically needed professional qualifications and specializations. • Other Related Initiatives: Additional measures to support the overall recruitment and retention strategy.
根据服务需要提高教育和卫生人员的质量
Ensuring high-quality healthcare services can only be achieved by adequately trained and educated high-level healthcare professionals. To enhance the quality of residency studies and residency bases across the country, the Ministry of Health will allocate funding for the acquisition and improvement of educational competencies of physician residents' mentors – 344,000 euros have been earmarked for this purpose. On July 31, 2024, Order No. V-788 was issued, titled „Order on the approval of the procedure for updating the educational competencies of the resident physician supervisor and acquiring and updating the educational competencies of the resident physician mentor. “ A project funded by the European Union's 2021–2027 investment program is dedicated to physician resident mentors who will work in healthcare institutions outside the largest cities of Lithuania, including regional areas. The project's goal is to provide these mentors with educational skills to ensure a quality learning process and a positive psycho-emotional climate for physician residents in their residency bases. Additionally, it aims to help young doctors integrate more easily and effectively into the healthcare system. Approved professional development programs are designed for healthcare professionals and administrative staff working in personal healthcare institutions. These programs focus on developing both general (management, leadership, communication, emotional literacy, etc.) and specialized competencies. Based on the Long-Term Care Service Provision Model Development Project Plan, which was approved by the Government in December 2021, a plan for the training, retraining, and professional development of long-term care specialists is to be prepared. A legal act aimed at improving the qualifications and working conditions of healthcare professionals is planned to be drafted. This act will regulate the financing mechanism for the professional development of healthcare professionals, introducing a professional qualification development fund for healthcare professionals, financed by the state, institutions, organizations, and personal funds.
创造与人群健康需要相一致的就业机会
Aiming to address the shortage of healthcare professionals in Lithuania's national health system, the Ministry of Health has requested personal healthcare institutions to provide information on their preliminary capabilities to cover the tuition fees of pupils, students, and resident doctors, in accordance with the order of the Minister of Health of the Republic of Lithuania No. V-1080, dated November 7, 2008. Additionally, institutions were asked to provide information on other possible incentive measures for attracting healthcare professionals. The Ministry of Health has compiled lists of incentive measures to present comprehensive information, allowing pupils, students, and resident doctors to find all relevant information in one place and make informed decisions regarding contract agreements with personal healthcare institutions. This list will aid in attracting healthcare professionals with the most needed qualifications to personal healthcare institutions experiencing the greatest shortage of these specialists. These healthcare professionals could contribute to the provision of quality and timely healthcare services, addressing the health needs of the population. Starting from July 1, 2024, a patient transportation service will be launched in Lithuania. Patients who meet the transportation criteria will be able to order the service by calling 1808, from home to the healthcare facility and back. The expansion of this service will bring healthcare services closer to patients and thus help the most vulnerable populations (due to health, poverty, age). The aim of this measure is to ensure that age, level of participation, health status, or other factors do not hinder access to necessary healthcare services.
对卫生人员的国际招聘进行管理
Lithuania adheres to the principles of the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel, aiming to ensure ethical and responsible international recruitment of health care professionals. This Code aims to strengthen health systems in developing countries and maintain a balance between the migration of health care professionals and the needs of national health systems. Adherence to Ethical Principles Compliance with the Code: Lithuania is committed to adhering to the WHO Global Code, which sets out ethical principles for the international recruitment of health care professionals, aiming to protect the health systems of developing countries from brain drain. Development of National Strategies Formulating National Policies: The Ministry of Health (SAM) develops national strategies that include measures for the recruitment, training, and retention of health care professionals to ensure that those working in Lithuania meet the country's needs and international standards. International Collaboration Bilateral and Multilateral Agreements: Lithuania collaborates with other countries to ensure fair and responsible recruitment of health care professionals, sharing best practices and information on migration trends. Incentive Programs Incentive Programs: Lithuania implements various incentive measures to retain and attract health care professionals, such as financial support for students, residents, and doctors who commit to working in the country's health care facilities for a specified period. Return Programs Return and Reintegration Programs: Lithuania encourages emigrated health care professionals to return by offering reintegration programs, including professional development, job placements, and financial support. Education and Awareness Information Dissemination: The Ministry of Health and other relevant institutions conduct information campaigns to inform health care professionals about international recruitment rules, opportunities, and responsibilities, as well as the principles of the WHO Code. Challenges and Solutions Shortage of Specialists in Certain Areas Targeted Measures: To address the shortage of specialists, Lithuania implements targeted measures such as financial incentives, professional development programs, and improvements in infrastructure in regional health care facilities. Impact of Migration on the Health System Ensuring Balance: Lithuania strives to maintain a balance between international recruitment of specialists and the needs of the national health system, considering the specifics and priorities of the country's health care sector. Lithuania actively implements measures to ensure responsible international recruitment of health care professionals in accordance with the WHO Global Code of Practice. These measures help strengthen the country's health care system, ensure the sustainability of health care professionals, and contribute to improving public health.
改进卫生人员的管理
The Ministry of Health plans to develop and approve professional qualification enhancement programs for healthcare professionals and administrative staff working in personal health care institutions. These programs will focus on both general (management, leadership, communication, emotional intelligence, etc.) and specific competencies. Training sessions are scheduled to commence from 2024 and continue through 2029. An allocation of €1.8 million from the 2021–2027 European Union funds investment program has been designated for this measure. The planned qualification enhancement will focus on primary care, specialized fields (including emergency and urgent medical care, mental health services), long-term care, and pharmacy. It will also include the requalification of emergency medical specialists. To improve the monitoring and planning of healthcare professionals' qualifications, the development of an IT tool—the Healthcare Professionals Competency Platform—is planned.
关于突发事件期间卫生人员规章制度和招聘的具体规定
Plans are underway for the development and modernization of top-level infectious disease cluster centers and regional infectious disease cluster centers, with an emphasis on improving infectious disease management. Two top-level centers are set to be established for the modernization of emergency medical departments in regional hospitals to ensure effective patient flow management and accessibility and quality of emergency medical services during epidemics/pandemics. A systematic strengthening of the health system's resilience to operate in emergencies is planned, with an allocation of €148 million (excluding VAT) for infrastructure development and equipment acquisition. This initiative aims to ensure regional-level infectious disease treatment capacities during crises (at least 650 beds) and create conditions for conducting research on dangerous and highly dangerous infections, integrating into international scientific programs. The goal is to adapt the emergency medical departments and intensive care units of major national hospitals to effectively provide emergency medical services to a large number of patients simultaneously in the event of high and very high-risk incidents, ensuring safe working conditions for staff working under hazardous conditions. Plans are underway to develop legislation aimed at enhancing the preparedness of healthcare institutions for operating in emergencies. The following actions are planned under the modernization action plan for healthcare institutions' collaboration and infrastructure adaptation for emergencies: Requirements Specification: Establish requirements that healthcare institutions must meet to ensure their preparedness for emergencies. Legal Foundations: Create legal frameworks to support healthcare institutions and their personnel in preparing for and operating during emergencies. Resource Cooperation: Develop legal provisions to facilitate more effective cooperation of resources (material and human). From the 2021-2027 EU funds investment program, it is planned to acquire additional vehicles to meet increased demand due to a higher number of emergency medical service stations and the need to transport patients to specialized centers in acute conditions. This includes updating some vehicles due to wear and tear. On January 18, 2024, an Expert Working Group was established to review healthcare professional education programs and to incorporate competencies necessary for preparedness for emergencies and wartime threats into these programs. The tasks of the Expert Working Group are: To identify the competencies required by healthcare sector professionals to provide rapid and coordinated healthcare services during emergencies or wartime (hereinafter referred to as "competencies"). To establish a strategy for the development of these competencies.
其它
In all cases, the professional qualification of doctors, nurses, dentists, oral care specialists and other regulated professions health care specialists acquired outside the Republic of Lithuania must be recognized in accordance with the Directive 2005/36/EC. Practice shows that the recognition of professional qualification of a medical doctor is recognized by practically all applicants. Problems arise with professional qualification of specialists from third countries, because the duration of studies is often significantly shorter than in Lithuania. During the recognition, the work experience is also assessed. High length of practise sometimes compensates for the shorter duration of studies. Recognition of professional qualifications is only one part of procedure to legally provide personal health care services in Lithuania. Once the professional qualification is recognized, specialist must obtain their license. In order to obtain a license, the conditions for proficiency in the Lithuanian language and permission to temporarily live and work in Lithuania are needed, which often causes problems for individuals.
Hide [Q2x2x1] 为留住卫生和照护人员队伍以及解决其地域分布不均问题而采取的措施 (勾选所有适用选项)
2.2.1 教育
2.2.2 规章制度
2.2.3 激励
2.2.4 支持
Hide [Q2x2x1x1] 2.2.1.1 教育
农村/服务不足地区的教育机构
Educational institutions (universities, colleges, and vocational training schools/centers) are in the major cities of the country.
农村/服务不足地区和社区的学生人数
Admissions to educational institutions are carried out according to the general procedure established by the institutions. This procedure allows individuals from rural or underserved areas to apply and be admitted to educational institutions.
奖学金和教育补贴
教育和/或专业发展计划中的相关专题/课程
以初级卫生保健为教育计划的培养方向
其它
Hide [Q2x2x2x1] 2.2.2.1 规章制度
奖学金和教育补贴的发放与签订回去服务协议联系起来
According to the Order No. V-1080 of November 7, 2008, by the Minister of Health of the Republic of Lithuania, students, trainees, or medical residents can benefit from a legal framework that regulates financial support from municipal administrations or healthcare institutions. This support is available to those studying in non-state-funded places. By entering into study financing agreements, they are required to fulfill contractual obligations by working for a specified number of years in the healthcare institution, thus contributing to the needed healthcare workforce.
与卫生人员签订与奖学金或教育补贴无关的强制性服务协议
扩大现有卫生人员的从业范围
Requalification of Emergency Medical Services (EMS) Specialists Starting January 1, 2024, the new regulations for providing Emergency Medical Services (EMS) will come into effect. According to these regulations, EMS drivers will be required to hold a paramedic professional qualification. This change aims to enhance the capabilities of EMS teams, ensuring that all members, including drivers, are equipped with the necessary medical knowledge and skills to effectively respond to emergencies. Pharmacy Specialist Training To better utilize the potential of pharmacists as competent health care specialists, additional training for pharmacy professionals is planned. This training will focus on expanding the range of patient-centered pharmaceutical care services and advanced practice pharmacy roles. Specifically, the following initiatives are planned: 1. Development of Additional Services: By the second half of 2022, a phased implementation of new services provided by pharmacists will begin. This will continue through to 2030, with new regulations defining these services and their delivery conditions. 2. Competency Requirements: Regulations will outline the competencies required for pharmacists, specifying the necessary training hours, procedures, target patient groups, and collaboration with physicians. 3. Enhanced Pharmaceutical Care: The new services will include comprehensive pharmaceutical care and extended practice roles, which will aim to improve patient outcomes through better medication management and health advice. These measures are intended to strengthen the role of pharmacists in the healthcare system, ensuring that they can provide high-quality, patient-focused services and work effectively within the healthcare team.
不同专业之间的任务分担
Family Doctor Team Model Comprehensive Family Doctor Team: To improve service quality and accessibility, family medicine services are provided by a comprehensive family doctor team. This team includes a family doctor, nurses, midwife, nurse assistant, physiotherapist, lifestyle medicine specialist, and case manager. Competency Distribution: Functions of team members are allocated according to their expanded competencies, thereby more effectively utilizing the specialists' skills. Retraining of Emergency Medical Services Specialists Paramedic Qualification: From January 1, 2024, following the new Emergency Medical Services provision requirements, emergency medical drivers must have a paramedic professional qualification. Retraining Programs: Training and professional development courses are organized to ensure that emergency medical services specialists are adequately prepared for emergencies. Development of Pharmacy Specialists' Competencies Pharmaceutical Care and Advanced Practice Services: To better utilize pharmacists' potential, additional patient-oriented pharmaceutical care and advanced practice pharmacist (pharmacist-healthcare specialist) services are being developed. Regulation and Training: From the second half of 2022 to 2030, it is planned to gradually regulate additional services provided in pharmacies and their conditions, including the enhancement of pharmacists' competencies. Retraining and Professional Development of Specialists Integrated Health Care Services: Continuous training is organized to improve the competencies of health care specialists, providing new knowledge and practical skills for working with innovative and advanced technologies. Retraining for Internal Medicine and Pediatric Doctors: There are plans to allow internal medicine and pediatric doctors to additionally obtain family doctor qualifications. Practical Implementation Examples Competency Platform Health Care Specialist Competency Platform: An IT tool is planned to be created to monitor and plan the professional development and practical skills acquisition processes of health care specialists. Regional Initiatives Strengthening Regional Health Care Centers: Projects are being carried out in regional health care centers to strengthen the composition and competencies of specialist teams, thereby ensuring better service accessibility.
为结束农村服务的卫生人员进入新的或专业工作领域提供途径
The Ministry of Health has initiated changes to the Regulations for the Implementation and Supervision of Medical Residency and Dental Residency Programs, as approved by the Government's decree. The changes, effective from January 1, 2023, include extending the duration of certain residency programs and introducing a minimum requirement for professional practice. Specifically, by 2027, at least 35% of medical residents' professional practice must be completed outside university hospitals. To qualify as a residency base, healthcare institutions now only need to have a medical resident mentor (a new role) responsible for overseeing the acquisition of practical skills by medical residents, replacing the previous requirement for a medical resident supervisor. Funds from the initiative will be used to train doctors who wish to become medical resident mentors. Additionally, the Ministry of Health is implementing an EU-funded project titled "Recruiting Specialists to Reduce Health Disparities" (Project No. 08.4.2-ESFA-V-617), with a budget of €668,800. This project aims to fund residency training for doctors (at least 34 individuals) who commit to working for a minimum of 2 years in healthcare facilities in specific districts, as stipulated in their agreements.
其它
Hide [Q2x2x3x1] 2.2.3.1 激励
额外的财务报销
Additional Salary Supplements: Health professionals working in regions or specialties with significant shortages may receive additional salary supplements. These supplements aim to make positions in underserved or high-need areas more attractive. Retention Bonuses: Financial bonuses are offered to healthcare workers who commit to staying in their positions for an extended period, particularly in areas with high demand or difficult working conditions. Financial Support for Education and Training Study Funding: Financial support is provided to cover the costs of education for students pursuing degrees in health-related fields. This can include scholarships or loans that are partially forgiven if the recipient works in designated underserved areas. Training and Certification Costs: Funds are allocated to cover the costs of professional development and certification for existing health care professionals. This includes costs associated with additional qualifications, specialized training, and continuing education. Support for Recruitment and Retention Relocation Assistance: Financial aid is provided to healthcare professionals who relocate to work in high-need areas. This can include relocation expenses, housing allowances, and other support to ease the transition. Employment Grants: Grants or subsidies are offered to health care institutions to support the hiring of additional staff. These funds can help offset the costs associated with expanding services or increasing staff numbers. Incentives for Mentorship and Supervision Mentorship Stipends: Financial incentives are offered to experienced professionals who take on mentorship roles, particularly in training new specialists or supervising their work. This aims to encourage experienced professionals to share their knowledge and support the development of new talent. Supervision Allowances: Additional funding is provided to institutions that facilitate supervision and support for new or less experienced health care professionals. Bonuses for Extra Duties and Responsibilities Performance-Based Bonuses: Health professionals who take on additional duties or responsibilities beyond their standard roles may receive performance-based bonuses. This includes taking on extra shifts, working in challenging conditions, or providing additional services. Specialty Bonuses: Additional financial incentives are given to professionals who acquire specialized skills or work in high-demand specialties, such as emergency medicine, psychiatry, or geriatrics. Implementation and Monitoring Evaluation and Adjustments: The effectiveness of these financial measures is regularly evaluated to ensure they meet their goals of addressing shortages and improving workforce retention. Adjustments are made based on feedback from health professionals and performance data. Transparency and Communication: Clear communication about available financial support and eligibility criteria is essential to ensure that health professionals are aware of the incentives and can access them effectively.
教育机会
To ensure the occupancy of state-funded study places and to enhance the prestige of certain professional qualifications, as well as to encourage professional orientation and shift public perceptions about specific healthcare professions, the following communication activities are planned: 1. Sharing Professional Experience: Healthcare professionals (preferably from the same cities) will visit schools and high schools to share their professional experiences and career paths. 2. Encouragement Events: Events, practical assignments, and tours of healthcare institutions will be organized to motivate students to choose healthcare professions, providing them with a clearer understanding of the benefits and challenges of these careers. 3. Information Dissemination for Medical Students: Dissemination of information among medical students in integrated studies, guiding them to choose the most needed qualifications after six years of study, such as family medicine, emergency medicine, geriatrics, and psychiatry. 4. Information Dissemination for Nursing Students: Information dissemination and incentives will be targeted at general practice nursing students to better inform them about their career options and opportunities in the healthcare sector. These activities aim to shift societal attitudes towards healthcare professions and encourage young people to pursue careers in this field.
职业发展或专业成长的机会
To enhance the competencies of healthcare professionals and other specialists in the healthcare field and ensure continuous professional development, the goal is to provide new knowledge and improve practical skills. This includes integrating advanced healthcare services and working with innovative, cutting-edge technologies. From the 2014-2020 EU funding period and the 2014-2021 European Economic Area Financial Mechanism "Health" program, various projects were implemented to enhance specialists' qualifications. However, due to the ongoing need for continuous improvement to enhance service quality, qualifications development and retraining activities will continue into the 2022-2030 period. Experiences from pandemic management encourage the exploration of solutions to strengthen primary healthcare, expand telemedicine and mobile service options (such as remote consultations, patient monitoring, home visits by family doctors, emotional support, health maintenance advice, etc.). Advances in health technology and the precision of diagnostic and treatment methods are altering the roles of various professions in the treatment process and presenting new challenges for ensuring the safety and quality of health services. This involves planning, evaluating, maintaining, and improving the competencies of healthcare professionals to meet medical standards and creating favorable conditions for implementing innovative healthcare service delivery models. In restructuring the network of healthcare institutions, the aim is to ensure that primary care services within the scope of family medicine are provided exclusively by a fully-fledged family medicine team. This team would include a family doctor, nurses, a midwife, a nursing assistant, a physiotherapist, a lifestyle medicine specialist, and a case manager. The functions of team members should be allocated based on their developed competencies to enhance service quality and accessibility through more effective use of specialist skills. For a fully integrated family medicine team, it is essential to ensure not only a complete composition of required specialists but also the redistribution of their responsibilities, ongoing qualification improvement/retraining (e.g., internal medicine and pediatric specialists could acquire additional qualifications in family medicine), adaptation of existing service delivery methodologies, algorithms, and recommendations, as well as the development and implementation of new ones.
专业认可
社会认可
Public Visibility: The activities of healthcare professionals are often highlighted through media, social networks, and other communication channels. This helps the public learn about their achievements and contributions to the healthcare system. Awards and Recognition Ceremonies: Awards ceremonies are held to honor healthcare professionals who have achieved significant results or contributed to important projects. These awards may be given by the state, municipalities, or professional associations. Patient Feedback: Patient reviews and gratitude letters are also considered important aspects of social recognition. Many healthcare professionals receive positive feedback from patients who value their work and commitment. Professional Organization Recognition: Professional organizations and associations evaluate and acknowledge the contributions and achievements of specialists, granting them certificates, titles, or other recognition markers. Educational and Public Awareness Activities Profession Promotion in Schools and Universities: Events, seminars, and practical tasks are organized in schools and universities where professionals share their experiences with young people. This helps improve the image of the profession and encourages youth to choose a career in healthcare. Public Awareness Campaigns: Organizations and institutions run campaigns to increase public understanding of the work and importance of healthcare professionals. This may include advertising campaigns, social media posts, informational posters, and more. Documentation of Professional Achievements Professional Achievements Documentation: Healthcare professionals can be recognized for their achievements, such as scientific research, innovations, or exceptional services. These achievements can be published in scientific journals, healthcare magazines, or other sources. Social Responsibility Projects: Involvement in social responsibility projects, such as free health screenings, educational programs, or assistance to socially vulnerable groups, also contributes to social recognition. Participation in International Projects International Projects and Collaboration: Participation in international healthcare projects and collaboration with foreign professionals provides opportunities for international recognition and experience, which can enhance social recognition at the national level. Career and Professional Development Career Opportunities: Various career development and professional growth opportunities are provided, including leadership positions, teaching, and mentoring roles, which help professionals gain recognition for their contributions and experience in the healthcare system.
为国际卫生人员获得永久居留权和/或公民身份提供途径和机会
其它
Hide [Q2x2x4x1] 2.2.4.1 支持
体面和安全的工作条件
Health and Safety Regulations Occupational Health and Safety Standards: Lithuania adheres to strict occupational health and safety regulations that apply to all workplaces, including healthcare facilities. These regulations ensure that healthcare professionals work in environments that minimize risks and protect their health. Regular Safety Inspections: Healthcare facilities undergo regular safety inspections to ensure compliance with health and safety standards. This includes checking for proper sanitation, ergonomic workplace design, and adequate safety equipment. Workplace Safety Training Mandatory Training Programs: Healthcare professionals are required to undergo regular training in workplace safety, including emergency procedures, infection control, and proper use of personal protective equipment (PPE). Continuing Education: Ongoing education programs are provided to keep healthcare workers informed about the latest safety protocols, technological advancements, and best practices. Supportive Work Environment Ergonomic Workspaces: Facilities are designed to be ergonomic, reducing physical strain and preventing injuries. This includes adjustable furniture, proper lighting, and equipment designed to minimize physical effort. Mental Health Support: Recognizing the high stress associated with healthcare professions, mental health support and counseling services are available to help professionals manage stress and prevent burnout. Infection Control Measures Infection Prevention Protocols: Healthcare settings are equipped with rigorous infection control protocols to protect staff from exposure to harmful pathogens. This includes regular disinfection of surfaces, proper waste management, and protocols for handling infectious materials. Vaccination Programs: Vaccination programs are in place to protect healthcare professionals from infectious diseases. These programs are regularly updated based on current health threats. Fair Compensation and Benefits Competitive Salaries: Efforts are made to ensure that salaries for healthcare professionals are competitive and reflect the high level of responsibility and expertise required. Additional Benefits: Healthcare professionals receive additional benefits such as health insurance, paid leave, and retirement plans, contributing to their overall job satisfaction and security. Work-Life Balance Flexible Scheduling: Initiatives to improve work-life balance include flexible scheduling options and support for part-time work or job-sharing arrangements. Leave Policies: Generous leave policies, including sick leave, parental leave, and vacation time, are in place to help professionals manage their personal and family responsibilities. Emergency Preparedness Preparedness Plans: Healthcare facilities have emergency preparedness plans in place for dealing with crises such as natural disasters, pandemics, or mass casualty events. These plans are regularly reviewed and updated. Crisis Training: Regular crisis management training ensures that healthcare professionals are prepared to handle emergencies effectively and safely. Legal Protections Legal Framework: Lithuanian labor laws provide protections for healthcare professionals, including regulations on working hours, breaks, and conditions of employment. Reporting Mechanisms: There are established mechanisms for reporting unsafe working conditions or occupational hazards, ensuring that concerns are addressed promptly and effectively.
体面和安全的生活条件
远程学习/电子学习机会
其它
Hide [Q3x1] 3.1 贵国是否有具体的政策和/或法律为在国外接受培训的卫生人员的国际招聘、移民和融入提供指引?
Hide [Q3x2] 3.2 贵国是否有关于通过海外卫生人员提供国际远程卫生服务的任何政策和/或规定?
Hide [Q3x3] 3.3 贵国是否建立了与卫生人员国际招聘和移民有关的法律法规数据库或汇编,并酌情建立了与这些法律法规实施有关的信息数据库或汇编?
Hide [Q4] 4. 认识到其他政府实体的作用,卫生部在处理与卫生人员国际招聘和移民有关的问题上是否有监督和协调各部门的机制(例如政策、程序、单位)?
Hide [Q5] 5. 请说明贵国为实施以下 《守则》 建议而采取的步骤。
请从下面列表中勾选所有适用选项:
5.1 已经采取或正在考虑采取措施来修改卫生人员的法律或政策,以便与《守则》的建议保持一致。
On July 31, 2024, Order No. V-788 was issued, titled “Order on the approval of the procedure for updating the educational competencies of the resident physician supervisor and acquiring and updating the educational competencies of the resident physician mentor.”
5.2 已采取行动,在国家和/或国家以下级别相关部委、部门和机构之间交流和共享与卫生人员国际招聘和移民有关的信息,并对《守则》进行宣传。
On July 5, 2024, at the national and / or regional level, a letter titled “Request to provide information and conduct active communication“ was sent to healthcare institutions. The purpose was to gather information on all agreements established and terminated by healthcare institutions and/or municipalities regarding the employment of specialists under contractual obligations. Additionally, the letter requested information on the incentive measures implemented by healthcare institutions to attract health specialists, as well as details regarding vacant positions for healthcare specialists.
5.3 已采取措施,在决策过程中与利益攸关方进行协商,和(或)让他们参与与卫生人员国际招聘相关的活动。
See the previous information provided in section 5.2
5.4 为所有经主管部门授权在其管辖范围内开展业务的私人卫生人员招聘机构保留记录。
5.5 推广和鼓励私人招聘机构采用《守则》要求的良好做法。
5.5a 向私人招聘机构中推广《守则》。
5.5b 在国内立法或政策中要求私人招聘机构遵守与《守则》的原则和条款一致的道德实践。
5.5c 为私人招聘机构提供公共或私人道德实践认证。
5.5d 其它
5.6 以上均不是
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Government Agreements

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关于卫生人员移民或流动问题的政府间协定
Hide [Q6] 6. 贵国或国家以下级别政府是否就卫生人员国际招聘和/或流动问题签订任何双边、多边或区域协定和/或安排?
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Responsibilities, rights and recruitment practices

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责任、权利和招聘实践
Hide [Q7] 7. 如果贵国雇用/接纳国际卫生人员在卫生和照护行业工作,你们为移民卫生人员制定了哪些法律保障和/或其他机制,以确保他们享有与国内培训的卫生人力相同的法律权利和责任?
请从下面列表中勾选所有适用选项:
招聘移民卫生人员所采用的机制使他们能够评估与就业职位相关的利益和风险,并能够及时作出与就业相关的知情决定。
移民卫生人员的雇用、晋升和报酬均按资格水平、经验年限和专业责任程度等客观标准进行,与国内培训的卫生人力的标准相同。
The same conditions and requirements are applied as for Lithuanian health care specialists
移民卫生人员在加强专业教育、资历和职业发展方面享有与国内培训的卫生人力相同的机会。
The same conditions and requirements are applied as for Lithuanian health care specialists
已为确保移民卫生人员的安全移民/流动和融入社会作出制度安排。
已采取措施促进国际卫生人员的循环移民。
与公平招聘在外国培训的卫生人员和/或移民卫生人员有关的其他措施(包括法律和行政措施)和就业实践(请提供详情)。
没有采取措施。
不适用——未接纳/雇用外国卫生人员。
Hide [Q8] 8. 如果来自贵国的卫生人员在国外卫生和照护行业工作,请提供资料,说明贵国为确保他们的公平招聘和就业而采取或计划采取的措施;安全移民;返回;贵国对侨民的利用情况以及遇到的困难。
请从下面列表中勾选所有适用选项:
与公平招聘有关的安排
与目的地国的体面就业合同和工作条件有关的安排
与安全流动有关的安排
与返回和重新融入贵国卫生人力市场有关的安排
与侨民参与支持贵国卫生系统有关的安排
其他
没有采取措施
The same conditions and requirements are applied as for Lithuanian health care specialists
不适用——我国卫生人员不在国外工作
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International migration

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卫生人员的国际移民和流动途径
Hide [Q9x1] 9.1 如果贵国接纳了国际卫生人员在卫生和照护行业工作,他们是如何来到贵国的?(勾选所有适用选项)
直接(个人)申请教育、就业、贸易、移民或入境. 允许卫生人员流动的政府间协议 私人招聘机构或雇主协助招聘 私人教育/移民咨询机构协助流动 其它途径(请具体说明) 哪一种途径用得最多?如有数据资料,请提供。
医生 1 0 1 0
护士 1 0 1 0
助产士 1 0 1 0
牙医 1 0 1 0
药剂师 1 0 1 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
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Hide [Q9x2] 9.2 如果贵国的卫生人员在国外工作/学习,他们如何离开贵国?(勾选所有适用选项)
直接(个人)申请教育、就业、贸易、移民或入境目的地国 允许卫生人员流动的政府间协议 私人招聘机构或雇主协助招聘 私人教育/移民咨询机构协助流动 其它(请具体说明) 哪一种途径用得最多? 如有数据资料,请提供。
医生 1 0 1 0
护士 1 0 1 0
助产士 1 0 1 0
牙医 1 0 1 0
药剂师 1 0 1 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
其它专业 0 0 0 0
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Recruitment & migration

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国际卫生人员招聘和移民方面的数据


增加数据的可用性和国际可比性对于了解和应对卫生工作者移民的全球动态至关重要。请与贵国卫生人力账户联络点(如有)进行咨询,以确保以下报告的数据与国家卫生人力账户报告一致*
(关于贵国国家卫生人力账户联络点的详细信息,请参见电子版国家报告文书或联系WHOGlobalCode@who.int

Hide [Q10] 10. 贵国是否有任何机制或实体负责保存在外国出生和在外国培训的卫生人员的统计记录?
Hide [Q10x1] 10.1 记录保存在哪里?(勾选所有适用选项)
就业记录或工作许可证
卫生部人事数据库
获准执业的卫生人员登记册
其它
Hide [Q10x2] 10.2 记录是否包括关于在外国出生和/或在外国培训的卫生人员按性别分列的数据?
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Inflow and outflow of health personnel

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Hide [INFOx7] 卫生人员的流入和流出
Hide [Q11] 11. 贵国是否有监测卫生人员流入和流出情况的机制?(勾选所有适用选项)
流入
流出
Hide [Q11xI] 如果是流入:
Hide [Q11x1] 11.1 在过去三年里,有多少在外国培训或在外国出生的卫生人员(临时和/或永久)近期在贵国工作(流入)?
医生 护士 助产士 牙医 药剂师 备注
2021 42 4 3 9 0
2022 130 51 0 45 3
2023 92 58 2 32 16
数据来源(如监管机构、移民记录、工作许可证等) Register of health care and pharmacy practice licenses Register of health care and pharmacy practice licenses Register of health care and pharmacy practice licenses and Compulsory Health Insurance Fund Information System, licenced specialists Register of health care and pharmacy practice licenses and Compulsory Health Insurance Fund Information System, licenced specialists Register of health care and pharmacy practice licenses
Hide [Q11x3] 11.3 如果您有关于贵国卫生工作者流入和流出情况的任何文件,请上传这些文件。
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Stock of health personnel

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Hide [INFOx8] 卫生人员储备
Hide [Q12x1] 12.1 按培训国和出生国分列的卫生人员综合储备
请根据国家卫生人力账户指标1-07和1-08提供有可用数据的最新一年的资料,以说明贵国按培训地(在外国培训)和出生地(在外国出生)分列的卫生人员(最好是在职卫生人员)的总储备人数。
Hide [Q12x1a] 请采用以下一种方式提供贵国在职卫生人员的储备数据
请填写下表
Hide [Q12x1x1]
Total Place of training-Domestic Trained Place of training-Foreign trained-total Place of training-Foreign trained-national born Place of training-Foreign trained-foreign born Place of birth-National Born Place of birth-Foreign Born Data Source* Year of data Does the data represent active stock? Does the data represent active stock?
医生(全科医生+专科医生) 17421 17101 186 Hygiene institute and Register of health care and pharmacy practice licenses 2023
护士 26769 26492 216 Hygiene institute and Register of health care and pharmacy practice licenses 2023
助产士 1089 1084 5 Hygiene institute and Register of health care and pharmacy practice licenses 2023
牙医 4806 Hygiene institute and Register of health care and pharmacy practice licenses 2023
药剂师 3536 3515 19 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Hide [Q12x1x1x] 如果您有关于贵国在职卫生工作者储备、按培训地和出生地分列数据的任何文件,请上传这些文件。
Hide [Q12x2] 12.2 请提供数据,说明为贵国提供外国培训卫生人员最多的10个培训国家。
这一信息可通过以下两个选项中的一个提供:
请填写下表
Hide [Q12x2x1]
医生 护士 助产士 牙医 药剂师
接受过外国培训的卫生人员总数 186 216 5 19
国 1: 培训国 UKR UKR UKR UKR
国 1: 人员数量 103 103 2 16
国 2: 培训国 RUS RUS RUS RUS
国 2: 人员数量 25 35 2 3
国 3: 培训国 BLR BLR BLR
国 3: 人员数量 36 38 1
国 4: 培训国 EST POL
国 4: 人员数量 7 15
国 5: 培训国 KAZ LVA
国 5: 人员数量 4 17
国 6: 培训国 AZE
国 6: 人员数量 2
国 7: 培训国
国 7: 人员数量
国 8: 培训国
国 8: 人员数量
国 9: 培训国
国 9: 人员数量
国 10: 培训国
国 10: 人员数量
资料来源 (如职业登记册、人口普查数据、国家调查等)
数据年份 (请提供有可用数据的最近年份的数据) 2023 2023 2023 2023
说明
Hide [Q12x2x1x] 如果您有关于贵国按培训国分列的外国培训的卫生工作者数据的任何文件,请上传这些文件。
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Technical and financial support

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技术和财政支持
Hide [Q13] 13. 贵国是否在卫生人力发展、加强卫生系统或执行《守则》的其他建议方面向任何来源国或《2023年世卫组织卫生人力支持和保障措施受益国名单》所列国家或其他低收入和中等收入国家提供了技术或财政援助(例如,加强卫生人力数据、信息和研究向政策和计划制定转化等)
Hide [Q14] 14. 贵国是否在卫生人力发展、加强卫生系统或执行《守则》的其他建议方面从任何世卫组织会员国或其他利益攸关方(例如发展伙伴、其他机构)获得过技术或财政援助(例如,加强卫生人力数据、信息和研究向政策和计划制定转化等)?
Hide [Q14x] 请在下面提供补充信息(勾选所有适用选项):
支持卫生人力发展(制定计划、教育、就业、留用)
支持加强卫生系统的其他要素(提供服务;卫生信息系统;卫生筹资;医疗产品和技术;以及卫生领导和治疗)
其他支持领域
Hide [Q14x1] 支持卫生人力发展(制定计划、教育、就业、留用)
支持国家/实体 支持类型(请具体说明)
Europe Union Lithuania has accessed significant financial support from European Union (EU) structural funds for health system strengthening. These funds have been used to improve healthcare infrastructure, enhance the skills of the health workforce, and implement various health reforms aimed at increasing efficiency and quality in the healthcare system.
Nordic Countries Partnerships with Nordic Countries: Lithuania has engaged in partnerships with Nordic countries, particularly through the Nordic Council of Ministers, for collaborative projects focused on health system strengthening and workforce development. These partnerships often involve sharing best practices, training, and capacity building.
Norway, Sweden and Germany Lithuania has also received support from various development partners, including bilateral assistance from countries like Norway, Sweden, and Germany. These countries have provided both technical expertise and funding for projects related to health workforce development, including training programs, exchange of knowledge, and implementation of health system reforms.
Hide [Q14x2] 支持加强卫生系统的其他要素(提供服务;卫生信息系统;卫生筹资;医疗产品和技术;以及卫生领导和治疗)
支持国家/实体 支持类型(请具体说明)
Europe Union Technical support was received in the form of COVID-19 tests, vaccines, and other technical tools to facilitate the work of healthcare professionals during the pandemic.
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Constraints, Solutions, and Complementary Comments

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制约因素、解决办法和补充意见
Hide [Q15] 15. 请按优先次序列出影响贵国对国际移民进行道德管理的三个主要制约因素,并提出可能的解决办法:
主要制约因素 可能的解决办法/建议
Social Integration and Public Perception Public Awareness Campaigns: Implement targeted campaigns to promote the benefits of migration and multiculturalism, emphasizing success stories and contributions of migrants.
Policy and Legal Framework Policy Reform: Update and harmonize migration laws to align with international human rights standards, ensuring that they are flexible enough to respond to evolving migration patterns. International Cooperation: Strengthen bilateral and multilateral agreements with source countries to manage migration flows more effectively and humanely.
Economic Integration Recognition of Qualifications: Simplify and streamline the process for recognizing foreign qualifications and work experience, allowing migrants to work in their trained professions. Entrepreneurship Support: Provide resources, mentoring, and financial support for migrants interested in starting their own businesses, which can create jobs and stimulate the local economy.
Hide [Q16] 16. 贵国在加强 《守则》执行方面需要何种支持?
支持加强卫生人员的数据和信息
1. Enhanced Data Collection Systems Develop Comprehensive Databases: Create or improve national health personnel databases that capture detailed and up-to-date information on the workforce, including demographics, qualifications, and employment status. Implement Standardized Data Collection Tools: Use standardized tools and methods for collecting data across different regions and institutions to ensure consistency and comparability. 2. Data Analysis and Reporting Build Analytical Capacity: Train staff in data analysis techniques to interpret health workforce data effectively, identify trends, and make data-dr,iven decisions. Generate Regular Reports: Produce and disseminate regular reports on health personnel statistics, including workforce distribution, shortages, and migration patterns. 3. Integration with Health Information Systems Link Data Systems: Integrate health personnel data with broader health information systems to provide a comprehensive view of health service delivery and needs. Ensure Interoperability: Ensure that data systems are interoperable with international databases and frameworks to facilitate comparison and coordination. 4. Data Quality and Validation Implement Quality Assurance Measures: Establish procedures for data validation and quality assurance to ensure the accuracy and reliability of health personnel data. Conduct Regular Audits: Perform regular audits of data collection processes and systems to identify and address issues affecting data quality. 5. Capacity Building and Training Train Data Collectors and Analysts: Provide training for personnel involved in data collection and analysis to enhance their skills and understanding of best practices. Develop Data Management Skills: Offer courses and workshops on data management, including the use of advanced data analysis tools and techniques. 6. Access to Technology and Tools Provide IT Infrastructure: Ensure that health institutions have access to the necessary IT infrastructure and software for effective data collection and management. Support Innovative Solutions: Encourage the adoption of innovative technologies such as mobile data collection apps and cloud-based systems to streamline data processes. 7. Collaboration and Partnerships Engage with International Organizations: Collaborate with international organizations and agencies to access best practices, benchmarks, and support for data initiatives. Foster Interinstitutional Cooperation: Promote cooperation between different institutions and agencies involved in health workforce data collection and management. 8. Public Awareness and Transparency Share Data Publicly: Increase transparency by making health workforce data publicly available, where appropriate, to support accountability and informed decision-making. Promote Data Literacy: Raise awareness about the importance of data and its role in improving health systems, and encourage stakeholders to use data in planning and policy development. 9. Policy and Regulatory Support Establish Data Governance Policies: Develop and implement policies for data governance, including data privacy, security, and ethical considerations. Create Data Standards: Define and enforce standards for data collection, reporting, and analysis to ensure consistency and quality.
支持政策对话和制定
支持制定双边/多边协议
其它
不需要支持
Hide [Q17] 17. 考虑到 《守则》 是应该根据需要进行更新的动态文件,请提供资料,说明贵国在过去14年里自关于《守则》的决议通过以来的思考。
Hide [Q17x1] 请说明《守则》对贵国是否有用/有何作用。
Evolving Policy and Regulatory Framework Adoption and Integration: Since the adoption of the Code in 2010, Lithuania has progressively integrated its principles into national policies. This has involved aligning local regulations with the Code’s recommendations to ensure ethical recruitment practices and prevent the migration of health personnel from low-resource settings. Regulatory Updates: The legal framework has been periodically updated to better align with the Code’s recommendations. This includes regulations governing international recruitment, professional standards, and measures to avoid practices that could negatively impact developing countries. Enhancing Domestic Workforce Capacity Training and Education: Efforts have been made to improve the education and training of domestic health personnel to reduce dependency on international recruitment. This includes expanding medical education opportunities and increasing the capacity of training institutions. Professional Development: Continuous professional development programs have been established to ensure that health personnel are equipped with the latest skills and knowledge, thus enhancing the quality of care and reducing the need for international recruitment. Ethical Recruitment Practices Monitoring and Compliance: The country has implemented mechanisms to monitor compliance with ethical recruitment practices. This involves ensuring that recruitment agencies and employers adhere to standards that prevent the exploitation of health personnel from developing countries. International Collaboration: Lithuania has engaged in international cooperation to share best practices and collaborate on initiatives that support the Code’s objectives. This includes working with global health organizations and participating in international forums. Addressing Domestic Needs and Retention Incentives and Retention Strategies: To address shortages and retain domestic health personnel, various incentives have been introduced, such as financial benefits, career development opportunities, and improved working conditions. Public Awareness and Recognition: Efforts to enhance the social recognition of health professions and promote career paths in healthcare have been undertaken. This includes public campaigns to highlight the value of health workers and their contributions to society. Evaluating Impact and Adjusting Strategies Regular Review and Feedback: The impact of the Code’s implementation has been regularly reviewed through feedback mechanisms, including surveys and evaluations of recruitment practices and workforce conditions. This has helped to identify areas for improvement and adjust strategies accordingly. Adaptation to Emerging Challenges: The dynamic nature of the Code has necessitated periodic adjustments to national policies and strategies to address emerging challenges and opportunities in the global health workforce landscape.
Hide [Q17x2] 《守则》中是否有任何条款需要更新?

Hide [Q17x3] 关于《守则》执行情况的报告程序和《守则》相关性和有效性的审查程序是否需要更新?

Hide [Q17x4] 请就 世卫组织卫生人力支持和保障措施受益国名单 发表意见(例如,如果贵国已被列入名单,这对贵国有何影响;如果贵国依赖国际卫生人员,名单对贵国有何影响;如果贵国未被列入名单,对贵国有何影响)

Hide [Q18] 18. 提交您可能希望提供的、关于卫生人员国际招聘和移民方面与执行 《守则》有关的补充意见或材料。

请说明或上传文件(最大文件10MB)

Hide [Q18x1]
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