Rosa Bejarano’s research while affiliated with Foundation University of Health Sciences and other places

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Publications (3)


University-trained nurses in Mexico: An assessment of educational atrition and labor wastage
  • Article

February 2006

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14 Reads

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12 Citations

Salud Pública de México

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José Arturo Ruiz

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Rosa Bejarano

To estimate and analyze the rate of wastage among university-trained nurses during their training period and in the labour market. Wastage at the training stage was estimated using data from ANUIES for the 1978-2002 period. We used the 2000 Population and Household Census database to estimate job market wastage. Concepts and formulas were defined for the valuation of both areas. The Rate of Education Wastage (TDE) for the generation cohort finishing in the year 2002 reached 252 per 1000, far below the 1987 rate, which was 555 per 1000. Regarding the job market, 55.2% of the total graduates who finished university studies and carried out post-graduate studies in nursing, now perform paid activities in the field of nursing, 15.4% work in activities different from their original training, and 16.2% are dedicated to household duties. The Global Rate of Labor Wastage (TGDL, per its abbreviation in Spanish) is 410 per 1000 thousand who obtained a degree in nursing at the university. There is an important degree of wastage in the population holding a university nursing degree, both in the training and in the job market areas, an unacceptable situation that calls for immediate action by incumbent institutions.


FIGURA 2. TASA DE DESPERDICIO ESCOLAR (TDE) EN LA LICENCIATURA EN ENFERMERÍA POR CADA MIL  
Enfermeras con licenciatura en México: estimación de los niveles de deserción escolar y desperdicio laboral
  • Article
  • Full-text available

February 2006

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426 Reads

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32 Citations

Salud Pública de México

OBJETIVO: Estimar y analizar la tasa de desperdicio entre las personas con estudios de enfermería a nivel de licenciatura, durante el periodo de su formación y en el mercado de trabajo. MATERIAL Y MÉTODOS: El desperdicio escolar se trabajó a partir de los datos de la Asociación Nacional de Universidades e Instituciones de Educación Superior (ANUIES) entre los años de 1978 y 2002. Para la estimación del desperdicio laboral, se utilizó la base de datos del XII Censo General de Población y Vivienda 2000. Para la valoración de ambos fenómenos se definieron conceptos y fórmulas. RESULTADOS: La tasa de desperdicio escolar (TDE) para la generación que concluyó en el año 2002 se ubicó en 252 por cada 1 000, muy por debajo de la registrada en 1987, que fue de 555. En el mercado laboral, para el año 2000, del total de personas que estudiaron licenciatura en enfermería, 55.2% realizaba actividades remuneradas en el área que estudió; 15.4% trabajaba en actividades ajenas a su formación académica y 16.2% se dedicaba al hogar. La tasa global de desperdicio laboral (TGDL) es de 410 por cada 1 000 personas que estudiaron licenciatura en enfermería. CONCLUSIONES: Existe un importante desperdicio de capacidades y habilidades entre la población con estudios de enfermería a nivel licenciatura, tanto en la formación como en el mercado laboral, que requiere de respuestas inmediatas por parte de las instituciones responsables.

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Figure 1: Total enrolment in the career of medicine by sex, 1990–2001. Throughout the period, the proportional participation of women maintained a constant growth. According to the annual statistical book from ANUIES, the percentage of women enrolled in medicine jumped from 43.9% in 1990 to 50.4% in 2001. It 1999 the number of women enrolled outnumbered men for the first time, by 1038.
Figure 2: Global rate of attrition (GRA) in medicine by group pertaining to the same period of study, 1977–2001. To calculate the attrition in the medical profession, a series was constructed for each graduating group, from the first admission in 1977 up to the 1997–2001 graduating class. Once the series was completed, it could be established that the lowest level of drop-outs took place during the period 1985–1989, with a rate of 165.0 per thousand students, while the highest level was registered in the 1990–1994 class, with a rate of 493.5.
Figure 3: Incoming students and attrition by cohort, 1977–2001. An indicator that allows us to determine the wastage is the rate of final efficiency in the career of medicine at the national level. To this purpose, a series of graduating classes with the same cohort was constructed; this led to the identification of the highest final efficiency, which was achieved in the 1985 and the 1995 graduating classes, with a rate of 834.9 and 804.3, respectively. The second-highest rate was reached during the period 1995–1999.
Figure 4: Possible outcomes for individuals, from medical schools to the labor market. The diagram shows that doctors enrolled at medical schools can follow one of two patterns: the first refers to students obtaining their diploma, and the second, to students dropping out or not fulfilling the established requirements to graduate. Once in the labor market, graduates can be divided into two subgroups: those who are ready to be immediately employed and those who are not. In turn, those who are ready can be employed, unemployed, underemployed or fully dedicated to household activities. Those who are not ready to be immediately employed are divided into students that go on for a specialization degree and those who are inactive. A proportion of those initially enrolled will later be represented by the rate of attrition.
Educational and labor wastage of doctors in Mexico: Towards the construction of a common methodology

May 2005

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86 Reads

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20 Citations

Human Resources for Health

Background This paper addresses the problem of wastage of the qualified labor force, which takes place both during the education process and when trained personnel try to find jobs in the local market. Methods Secondary sources were used, mainly the Statistical yearbooks of the National Association of Universities and Higher Education Institutions (ANUIES in Spanish). Also, the 2000 Population Census was used to estimate the different sources of labor market wastage. The formulas were modified to estimate educational and labor wastage rates. Results Out of every 1000 students who started a medical training in 1996, over 20% were not able to finish the training by 2000. Furthermore, out of every 1000 graduates, 31% were not able to find a remunerated position in the labor market that would enable them to put into practice the abilities and capacities obtained at school. Important differences can be observed between generalists and specialists, as well as between men and women. In the case of specialists and men, lower wastage rates can be observed as compared to the wastage rates of generalists and women. A large percentage of women dedicate themselves exclusively to household duties, which in labor terms represents a wastage of their capacity to participate in the production of formal health services. Conclusion Women are becoming a majority in most medical schools, yet their participation in the labor market does not reflect the same trend. Among men, policies should be formulated to incorporate doctors in the specific health field for which they were trained. Regarding women, specific policies should target those who are dedicated full-time to household activities in order to create the possibility of having them occupy a remunerated job if they are willing to do so. Reducing wastage at both the educational and labor levels should improve the capacity of social investment, thereby increasing the capacity of the health system as a whole to provide services, particularly to those populations who are most in need.

Citations (3)


... Dada la naturaleza de su trabajo, el personal de enfermería, al igual que otros profesionales de la salud, corren el riesgo de afrontar una mala calidad de vida (Rodríguez-Marín, 2010;Albanesi, 2013). Estos riesgos aumentan cuando se enfrenta una pandemia, Nigenda et al. (2006), ya señalaban la importancia de la labor del personal de enfermería en la respuesta a condiciones epidemiológicas de la población, sin embargo, en México observaron una falta de aprovechamiento del personal formado. ...

Reference:

Calidad de vida laboral en hospitales privados del sureste mexicano
Enfermeras con licenciatura en México: estimación de los niveles de deserción escolar y desperdicio laboral

Salud Pública de México

... 1 By 2023, the combined physician workforce was nearly 666,000 people. 2 There are approximately 2.5 physicians per 1000 inhabitants in the country, landing in the bottom quartile among OECD (Organisation for Economic Co-operation and Development) countries. 3 An estimated one third of licensed physicians do not provide direct healthcare services, 4 suggesting that the actual ratio of practicing physicians per capita may be lower than anticipated. The concentration of providers in urban areas, where compensation and quality of life are better, worsens the physician shortage in rural regions where healthcare needs are greatest. ...

Educational and labor wastage of doctors in Mexico: Towards the construction of a common methodology

Human Resources for Health

... Such traditional procedures were the primary form of treatment among traditional peoples with limited access to biomedicine. Midwives from various ethnic groups all over the country use diverse groups of plants in their practice of midwifery to treat many health issues pertaining to fertility problems, birth control, pregnancy, parturition, post-partum care, neonatal care, and primary health care of women, infants, and children (Nigenda et al. 2006;Coe 2008). Their knowledge of medicinal plants has played a major role in pre-and post-natal care in many rural and urban areas (Whitaker 2003;Gollin 2004;Hamilton 2004;McNeely 2005;Green et al. 2006). ...

University-trained nurses in Mexico: An assessment of educational atrition and labor wastage
  • Citing Article
  • February 2006

Salud Pública de México