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Aprovechar el pluralismo para una mejor salud en Bangladesh
Syed Masud Ahmed1, Timothy G Evans, Hilary Standing
1Centre for Equity and Health Systems, icddr,b, Dhaka, Bangladesh; Centre of Excellence for Universal Health Coverage, James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
Resumen
Bangladesh logró un progreso significativo en la salud a pesar de un sistema de salud débil. Esta paradoja se explica por un entorno pluralista que fomenta el cambio rápido y la innovación, lo que requiere una gestión activa para una mejor gobernanza y mejores resultados.
Área de la Ciencia:
- Sistemas de Salud Investigación de Sistemas de Salud
- Estudios de desarrollo Estudios de desarrollo Estudios de desarrollo.
- Política de salud pública Política de salud pública.
Sus antecedentes:
- Bangladesh demuestra un notable progreso en salud y desarrollo humano.
- Este éxito contrasta con un sistema de salud a menudo descrito como débil debido a problemas de infraestructura y rendimiento.
Objetivo del estudio:
- Para explicar la paradoja de las ganancias de salud dentro de un sistema de salud débil en Bangladesh.
- Proponer un marco conceptual para comprender el pluralismo del sistema de salud y sus resultados.
Principales métodos:
- Análisis de datos oficiales y estudios de investigación.
- La inclusión de estudios de casos y conocimientos expertos sobre el sector de la salud de Bangladesh.
- Desarrollo de un marco conceptual para el pluralismo del sistema de salud.
Principales resultados:
- Un sistema de salud altamente pluralista, con diversas partes interesadas y una gestión difusa, facilitó el cambio rápido y la innovación.
- El pluralismo, si bien impulsa el progreso, está vinculado a una mala gobernanza, regulación y problemas como el abuso de drogas.
Conclusiones:
- La gestión activa del pluralismo del sistema de salud es crucial, centrándose en la gobernanza participativa, la rendición de cuentas, los sistemas de información y el desarrollo de capacidades.
- La experiencia de Bangladesh con los sistemas de salud pluralistas ofrece ideas para los desafíos del sistema de salud global.
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