Non-Physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians

Int J Health Policy Manag. 2016; 5(3):149–153. doi:10.15171/ijhpm.2015.215

5 Pages Posted: 8 Feb 2016

See all articles by Nir Eyal

Nir Eyal

Harvard University - Harvard Medical School

Corrado Cancedda

Harvard Medical School

Patrick Kyamanywa

University of Rwanda

Samia A. Hurst

University of Geneva - Medical School

Date Written: February 6, 2016

Abstract

Responding to critical shortages of physicians, most sub-Saharan countries have scaled up training of nonphysician clinicians (NPCs), resulting in a gradual but decisive shift to NPCs as the cornerstone of healthcare delivery. This development should unfold in parallel with strategic rethinking about the role of physicians and with innovations in physician education and in-service training. In important ways, a growing number of NPCs only renders physicians more necessary – for example, as specialized healthcare providers and as leaders, managers, mentors, and public health administrators. Physicians in sub-Saharan Africa ought to be trained in all of these capacities. This evolution in the role of physicians may also help address known challenges to the successful integration of NPCs in the health system.

Keywords: Physician Assistants; Professional Delegation; Human Resources for Health; Rural Health Services; Developing Countries; Emigration and Immigration; Delivery of Healthcare; Medical Education; Ethics

Suggested Citation

Eyal, Nir and Cancedda, Corrado and Kyamanywa, Patrick and Hurst, Samia A., Non-Physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians (February 6, 2016). Int J Health Policy Manag. 2016; 5(3):149–153. doi:10.15171/ijhpm.2015.215. Available at SSRN: https://ssrn.com/abstract=2728812

Nir Eyal (Contact Author)

Harvard University - Harvard Medical School ( email )

25 Shattuck St
Boston, MA 02115
United States

Corrado Cancedda

Harvard Medical School ( email )

25 Shattuck St
Boston, MA 02115
United States

Patrick Kyamanywa

University of Rwanda ( email )

Butare
Rwanda

Samia A. Hurst

University of Geneva - Medical School

Geneva
Switzerland

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