Skip to main content
Top
Published in: Human Resources for Health 1/2021

Open Access 01-12-2021 | Research

Training in communication skills for self-efficacy of health professionals: a systematic review

Authors: Ádala Nayana de Sousa Mata, Kesley Pablo Morais de Azevedo, Liliane Pereira Braga, Gidyenne Christine Bandeira Silva de Medeiros, Victor Hugo de Oliveira Segundo, Isaac Newton Machado Bezerra, Isac Davidson Santiago Fernandes Pimenta, Ismael Martinez Nicolás, Grasiela Piuvezam

Published in: Human Resources for Health | Issue 1/2021

Login to get access

Abstract

Background

Communication skills are essential for health professionals to establish a positive relationship with their patients, improving their health and quality of life. In this perspective, communication skills training can be effective strategies to improve the care provided by professionals in patient care and the quality of health services.

Objective

To identify the best available evidence on training programs in communication skills to promote changes in attitude and behavior or self-efficacy of health professionals.

Methods

Systematic searches were performed in eight databases, evaluating Randomized Controlled Trials and quasi-experimental studies with a control group, focusing on training communication skills for health professionals, who assessed self-efficacy or behaviors related to these skills. The phases of study selection and data extraction were carried out by two independent researchers, and the conflicts were resolved by a third. The risk of bias was assessed using the Cochrane method.

Results

Eight studies were included in the review. Most programs lasted between 4½ h and 2 days, involved information about communication skills and the content was applied to the health professionals’ context. Several teaching strategies were used, such as lectures, videos and dramatizations and the evaluation was carried out using different instruments. Improvements in the performance and in the self-efficacy of communication skills were observed in the trained groups. The RCT had a low risk of bias and the quasi-experimental studies had a moderate risk.

Conclusion

Training in communication skills can improve the performance and self-efficacy of health professionals. Programs that approach the conceptual issues and promote the space for experiential learning could be effective in communication skills training for professionals.
PROSPERO: CRD42019129384
Appendix
Available only for authorised users
Literature
1.
go back to reference Ditton-Phare P, Loughland C, Duvivier R, Kelly B. Communication skills in the training of psychiatrists: a systematic review of current approaches. Aust New Zeal J Psychiatry. 2017;51:675–92. Ditton-Phare P, Loughland C, Duvivier R, Kelly B. Communication skills in the training of psychiatrists: a systematic review of current approaches. Aust New Zeal J Psychiatry. 2017;51:675–92.
2.
go back to reference Haskard KB, Williams SL, DiMatteo MR, Rosenthal R, White MK, Goldstein MG. Physician and patient communication training in primary care: effects on participation and satisfaction. Health Psychol. 2008;27:513–22.PubMed Haskard KB, Williams SL, DiMatteo MR, Rosenthal R, White MK, Goldstein MG. Physician and patient communication training in primary care: effects on participation and satisfaction. Health Psychol. 2008;27:513–22.PubMed
3.
go back to reference Pehrson C, Banerjee SC, Manna R, Shen MJ, Hammonds S, Coyle N, et al. Responding empathically to patients: development, implementation, and evaluation of a communication skills training module for oncology nurses. Patient Educ Couns. 2016;99:610–6.PubMed Pehrson C, Banerjee SC, Manna R, Shen MJ, Hammonds S, Coyle N, et al. Responding empathically to patients: development, implementation, and evaluation of a communication skills training module for oncology nurses. Patient Educ Couns. 2016;99:610–6.PubMed
5.
go back to reference Skär L, Söderberg S. Patients’ complaints regarding healthcare encounters and communication. Nurs Open. 2018;5:224–32.PubMedPubMedCentral Skär L, Söderberg S. Patients’ complaints regarding healthcare encounters and communication. Nurs Open. 2018;5:224–32.PubMedPubMedCentral
6.
go back to reference Attree M. Patients’ and relatives experiences and perspectives of “good” and “not so good” quality care. J Adv Nurs. 2001;33:456–66.PubMed Attree M. Patients’ and relatives experiences and perspectives of “good” and “not so good” quality care. J Adv Nurs. 2001;33:456–66.PubMed
7.
go back to reference Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018;7:CD003751.PubMed Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018;7:CD003751.PubMed
8.
go back to reference Zimmermann C, Del Piccolo L, Bensing J, Bergvik S, De Haes H, Eide H, et al. Coding patient emotional cues and concerns in medical consultations: the Verona coding definitions of emotional sequences (VR-CoDES). Patient Educ Couns. 2011;82:141–8.PubMed Zimmermann C, Del Piccolo L, Bensing J, Bergvik S, De Haes H, Eide H, et al. Coding patient emotional cues and concerns in medical consultations: the Verona coding definitions of emotional sequences (VR-CoDES). Patient Educ Couns. 2011;82:141–8.PubMed
9.
go back to reference Deveugele M. Communication training: skills and beyond. Patient Educ Couns. 2015;98(10):1287–91.PubMed Deveugele M. Communication training: skills and beyond. Patient Educ Couns. 2015;98(10):1287–91.PubMed
10.
go back to reference Lord L, Clark-Carter D, Grove A. The effectiveness of communication-skills training interventions in end-of-life noncancer care in acute hospital-based services: a systematic review. Palliat Support Care. 2016;14:433–44.PubMed Lord L, Clark-Carter D, Grove A. The effectiveness of communication-skills training interventions in end-of-life noncancer care in acute hospital-based services: a systematic review. Palliat Support Care. 2016;14:433–44.PubMed
11.
go back to reference Pilnick A, Trusson D, Beeke S, O’Brien R, Goldberg S, Harwood RH. Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC Med Educ. 2018;18:267.PubMedPubMedCentral Pilnick A, Trusson D, Beeke S, O’Brien R, Goldberg S, Harwood RH. Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC Med Educ. 2018;18:267.PubMedPubMedCentral
12.
go back to reference Karger A, Geiser F, Vitinius F, Sonntag B, Schultheis U, Hey B, et al. Communication skills trainings: subjective appraisal of physicians from five cancer centres in North Rhine. Germany Oncol Res Treat. 2017;40:496–501.PubMed Karger A, Geiser F, Vitinius F, Sonntag B, Schultheis U, Hey B, et al. Communication skills trainings: subjective appraisal of physicians from five cancer centres in North Rhine. Germany Oncol Res Treat. 2017;40:496–501.PubMed
13.
go back to reference Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.PubMed Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.PubMed
14.
go back to reference Axboe MK, Christensen KS, Kofoed PE, Ammentorp J. Development and validation of a self-efficacy questionnaire (SE-12) measuring the clinical communication skills of health care professionals. BMC Med Educ. 2016;16(1):272.PubMedPubMedCentral Axboe MK, Christensen KS, Kofoed PE, Ammentorp J. Development and validation of a self-efficacy questionnaire (SE-12) measuring the clinical communication skills of health care professionals. BMC Med Educ. 2016;16(1):272.PubMedPubMedCentral
15.
go back to reference Kissane DW, Bylund CL, Banerjee SC, Bialer PA, Levin TT, Maloney EK, et al. Communication skills training for oncology professionals. J Clin Oncol. 2012;30:1242–7.PubMedPubMedCentral Kissane DW, Bylund CL, Banerjee SC, Bialer PA, Levin TT, Maloney EK, et al. Communication skills training for oncology professionals. J Clin Oncol. 2012;30:1242–7.PubMedPubMedCentral
16.
go back to reference Brighton LJ, Koffman J, Hawkins A, McDonald C, O’Brien S, Robinson V, et al. A systematic review of end-of-life care communication skills training for generalist palliative care providers: research quality and reporting guidance. J Pain Symptom Manag. 2017;54:417–25. Brighton LJ, Koffman J, Hawkins A, McDonald C, O’Brien S, Robinson V, et al. A systematic review of end-of-life care communication skills training for generalist palliative care providers: research quality and reporting guidance. J Pain Symptom Manag. 2017;54:417–25.
17.
go back to reference Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014;14:219.PubMedPubMedCentral Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014;14:219.PubMedPubMedCentral
18.
go back to reference Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;349:g7647–g7647. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;349:g7647–g7647.
19.
go back to reference Mata ANS, Azevedo KPM, Braga LP, Medeiros GCBS, Oliveira Segundo VH, Bezerra INM, et al. Training programs in communication skills to improve self-efficacy for health personnel. Medicine (Baltimore). 2019;98(33):e16697. Mata ANS, Azevedo KPM, Braga LP, Medeiros GCBS, Oliveira Segundo VH, Bezerra INM, et al. Training programs in communication skills to improve self-efficacy for health personnel. Medicine (Baltimore). 2019;98(33):e16697.
20.
go back to reference Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210.PubMedPubMedCentral Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210.PubMedPubMedCentral
21.
go back to reference Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019). Cochrane, 2019. Available from www.training.cochrane.org/handbook. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019). Cochrane, 2019. Available from www.​training.​cochrane.​org/​handbook.
22.
go back to reference Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.PubMed Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.PubMed
23.
go back to reference Sterne JAC, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.PubMedPubMedCentral Sterne JAC, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.PubMedPubMedCentral
24.
go back to reference Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64:401–6.PubMed Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64:401–6.PubMed
25.
go back to reference Liu JE, Mok E, Wong T, Xue L, Xu B. Evaluation of an integrated communication skills training program for nurses in cancer care in Beijing, China. Nurs Res. 2007;56(3):202–9.PubMed Liu JE, Mok E, Wong T, Xue L, Xu B. Evaluation of an integrated communication skills training program for nurses in cancer care in Beijing, China. Nurs Res. 2007;56(3):202–9.PubMed
26.
go back to reference Barth J, Lannen P. Efficacy of communication skills training courses in oncology: a systematic review and meta-analysis. Ann Oncol. 2011;22:1030–40.PubMed Barth J, Lannen P. Efficacy of communication skills training courses in oncology: a systematic review and meta-analysis. Ann Oncol. 2011;22:1030–40.PubMed
27.
go back to reference Ammentorp J, Sabroe S, Kofoed P-E, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy. Patient Educ Couns. 2007;66:270–7.PubMed Ammentorp J, Sabroe S, Kofoed P-E, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy. Patient Educ Couns. 2007;66:270–7.PubMed
28.
go back to reference Doyle D, Copeland HL, Bush D, Stein L, Thompson S. A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Educ Couns. 2011;82:100–9.PubMed Doyle D, Copeland HL, Bush D, Stein L, Thompson S. A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Educ Couns. 2011;82:100–9.PubMed
29.
go back to reference Levinson W, Roter D. The effects of two continuing medical education programs on communication skills of practicing primary care physicians. J Gen Intern Med. 1993;8:318–24.PubMed Levinson W, Roter D. The effects of two continuing medical education programs on communication skills of practicing primary care physicians. J Gen Intern Med. 1993;8:318–24.PubMed
30.
go back to reference Fujimori M, Shirai Y, Asai M, Kubota K, Katsumata N, Uchitomi Y. Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial. J Clin Oncol. 2014;32:2166–72.PubMed Fujimori M, Shirai Y, Asai M, Kubota K, Katsumata N, Uchitomi Y. Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial. J Clin Oncol. 2014;32:2166–72.PubMed
31.
go back to reference van Dulmen AM, Holl RA. Effects of continuing paediatric education in interpersonal communication skills. Eur J Pediatr. 2000;159(7):489–95.PubMed van Dulmen AM, Holl RA. Effects of continuing paediatric education in interpersonal communication skills. Eur J Pediatr. 2000;159(7):489–95.PubMed
32.
go back to reference Roter D, Rosenbaum J, de Negri B, Renaud D, DiPrete-Brown L, Hernandez O. The effects of a continuing medical education programme in interpersonal communication skills on doctor practice and patient satisfaction in Trinidad and Tobago. Med Educ. 1998;32(2):181–9.PubMed Roter D, Rosenbaum J, de Negri B, Renaud D, DiPrete-Brown L, Hernandez O. The effects of a continuing medical education programme in interpersonal communication skills on doctor practice and patient satisfaction in Trinidad and Tobago. Med Educ. 1998;32(2):181–9.PubMed
33.
go back to reference Sany SBT, Peyman N, Behzhad F, Esmaeily H, Taghipoor A, Ferns G. Health providers’ communication skills training affects hypertension outcomes. Med Teach. 2018;40:154–63. Sany SBT, Peyman N, Behzhad F, Esmaeily H, Taghipoor A, Ferns G. Health providers’ communication skills training affects hypertension outcomes. Med Teach. 2018;40:154–63.
34.
go back to reference Maquire P, Booth K, Elliott C, Jones B. Helping health professionals involved in cancer care acquire key interviewing skills—the impact of workshops. Eur J Cancer. 1996;32A:1486–9. Maquire P, Booth K, Elliott C, Jones B. Helping health professionals involved in cancer care acquire key interviewing skills—the impact of workshops. Eur J Cancer. 1996;32A:1486–9.
35.
go back to reference Baile WF, Lenzi R, Kudelka AP, Maguire P, Novack D, Goldstein M, et al. Improving physician—patient communication in cancer care: outcome of a workshop for oncologists. J Cancer Educ. 1997;12:166–73.PubMed Baile WF, Lenzi R, Kudelka AP, Maguire P, Novack D, Goldstein M, et al. Improving physician—patient communication in cancer care: outcome of a workshop for oncologists. J Cancer Educ. 1997;12:166–73.PubMed
36.
go back to reference Parle M, Maguire P, Heaven C. The development of a training model to improve health professionals’ skills, self-efficacy and outcome expectancies when communicating with cancer patients. Soc Sci Med. 1997;44:231–40.PubMed Parle M, Maguire P, Heaven C. The development of a training model to improve health professionals’ skills, self-efficacy and outcome expectancies when communicating with cancer patients. Soc Sci Med. 1997;44:231–40.PubMed
37.
go back to reference Selman LE, Brighton LJ, Hawkins A, McDonald C, O’Brien S, Robinson V, et al. The effect of communication skills training for generalist palliative care providers on patient-reported outcomes and clinician behaviors: a systematic review and meta-analysis. J Pain Symptom Manag. 2017;54(404–416):e5. Selman LE, Brighton LJ, Hawkins A, McDonald C, O’Brien S, Robinson V, et al. The effect of communication skills training for generalist palliative care providers on patient-reported outcomes and clinician behaviors: a systematic review and meta-analysis. J Pain Symptom Manag. 2017;54(404–416):e5.
38.
go back to reference Burt J, Abel G, Elliott MN, Elmore N, Newbould J, Davey A, et al. The evaluation of physicians’ communication skills from multiple perspectives. Ann Fam Med. 2018;16:330–7.PubMedPubMedCentral Burt J, Abel G, Elliott MN, Elmore N, Newbould J, Davey A, et al. The evaluation of physicians’ communication skills from multiple perspectives. Ann Fam Med. 2018;16:330–7.PubMedPubMedCentral
39.
go back to reference Ammentorp J, Graugaard LT, Lau ME, Andersen TP, Waidtløw K, Kofoed P-E. Mandatory communication training of all employees with patient contact. Patient Educ Couns. 2014;95:429–32.PubMed Ammentorp J, Graugaard LT, Lau ME, Andersen TP, Waidtløw K, Kofoed P-E. Mandatory communication training of all employees with patient contact. Patient Educ Couns. 2014;95:429–32.PubMed
40.
go back to reference Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: a systematic review and meta-analysis. Kaohsiung J Med Sci. 2018;34:160–5.PubMed Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: a systematic review and meta-analysis. Kaohsiung J Med Sci. 2018;34:160–5.PubMed
41.
go back to reference Ashcroft R. Health promotion and primary health care: examining the discourse. Soc Work Public Health. 2015;30:107–16.PubMed Ashcroft R. Health promotion and primary health care: examining the discourse. Soc Work Public Health. 2015;30:107–16.PubMed
42.
go back to reference Miller WL, Crabtree BF, Nutting PA, Stange KC, Jaen CR. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8:S68–79.PubMedPubMedCentral Miller WL, Crabtree BF, Nutting PA, Stange KC, Jaen CR. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8:S68–79.PubMedPubMedCentral
43.
go back to reference Carvalho IP, Pais VG, Almeida SS, Ribeiro-Silva R, Figueiredo-Braga M, Teles A, et al. Learning clinical communication skills: outcomes of a program for professional practitioners. Patient Educ Couns. 2011;84:84–9.PubMed Carvalho IP, Pais VG, Almeida SS, Ribeiro-Silva R, Figueiredo-Braga M, Teles A, et al. Learning clinical communication skills: outcomes of a program for professional practitioners. Patient Educ Couns. 2011;84:84–9.PubMed
44.
go back to reference McMillan SS, Kendall E, Sav A, King MA, Whitty JA, Kelly F, et al. Patient-centered approaches to health care. Med Care Res Rev. 2013;70:567–96.PubMed McMillan SS, Kendall E, Sav A, King MA, Whitty JA, Kelly F, et al. Patient-centered approaches to health care. Med Care Res Rev. 2013;70:567–96.PubMed
45.
go back to reference Cegala DJ, Broz SL. Physician communication skills training: a review of theoretical backgrounds, objectives and skills. Med Educ. 2002;36:1004–16.PubMed Cegala DJ, Broz SL. Physician communication skills training: a review of theoretical backgrounds, objectives and skills. Med Educ. 2002;36:1004–16.PubMed
46.
go back to reference Fallowfield L, Jenkins V, Farewell V, Solis-Trapala I. Enduring impact of communication skills training: results of a 12-month follow-up. Br J Cancer. 2003;89:1445–9.PubMedPubMedCentral Fallowfield L, Jenkins V, Farewell V, Solis-Trapala I. Enduring impact of communication skills training: results of a 12-month follow-up. Br J Cancer. 2003;89:1445–9.PubMedPubMedCentral
47.
go back to reference Connolly M, Thomas JM, Orford JA, Schofield N, Whiteside S, Morris J, et al. The impact of the SAGE & THYME foundation level workshop on factors influencing communication skills in health care professionals. J Contin Educ Health Prof. 2014;34:37–46.PubMed Connolly M, Thomas JM, Orford JA, Schofield N, Whiteside S, Morris J, et al. The impact of the SAGE & THYME foundation level workshop on factors influencing communication skills in health care professionals. J Contin Educ Health Prof. 2014;34:37–46.PubMed
48.
go back to reference Rønning SB, Bjørkly S. The use of clinical role-play and reflection in learning therapeutic communication skills in mental health education: an integrative review. Adv Med Educ Pract. 2019;10:415–25.PubMedPubMedCentral Rønning SB, Bjørkly S. The use of clinical role-play and reflection in learning therapeutic communication skills in mental health education: an integrative review. Adv Med Educ Pract. 2019;10:415–25.PubMedPubMedCentral
49.
go back to reference Olsson L-E, Ung EJ, Swedberg K, Ekman I. Efficacy of person-centred care as an intervention in controlled trials—a systematic review. J Clin Nurs. 2013;22:456–65.PubMed Olsson L-E, Ung EJ, Swedberg K, Ekman I. Efficacy of person-centred care as an intervention in controlled trials—a systematic review. J Clin Nurs. 2013;22:456–65.PubMed
50.
go back to reference Ammentorp J, Thomsen JL, Jarbøl DE, Holst R, Øvrehus AL, Kofoed PE. Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients. BMC Med Educ. 2013;13:49.PubMedPubMedCentral Ammentorp J, Thomsen JL, Jarbøl DE, Holst R, Øvrehus AL, Kofoed PE. Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients. BMC Med Educ. 2013;13:49.PubMedPubMedCentral
52.
go back to reference Chung H-O, Oczkowski SJW, Hanvey L, Mbuagbaw L, You JJ. Educational interventions to train healthcare professionals in end-of-life communication: a systematic review and meta-analysis. BMC Med Educ. 2016;16:131.PubMedPubMedCentral Chung H-O, Oczkowski SJW, Hanvey L, Mbuagbaw L, You JJ. Educational interventions to train healthcare professionals in end-of-life communication: a systematic review and meta-analysis. BMC Med Educ. 2016;16:131.PubMedPubMedCentral
Metadata
Title
Training in communication skills for self-efficacy of health professionals: a systematic review
Authors
Ádala Nayana de Sousa Mata
Kesley Pablo Morais de Azevedo
Liliane Pereira Braga
Gidyenne Christine Bandeira Silva de Medeiros
Victor Hugo de Oliveira Segundo
Isaac Newton Machado Bezerra
Isac Davidson Santiago Fernandes Pimenta
Ismael Martinez Nicolás
Grasiela Piuvezam
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2021
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-021-00574-3

Other articles of this Issue 1/2021

Human Resources for Health 1/2021 Go to the issue