メキシコの州で有効な覆蓋率を持つ州のパフォーマンスのベンチマーク
Rafael Lozano1, Patricia Soliz, Emmanuela Gakidou
1Secretaría de Salud, Reforma 450 Col Juarez CP 06600, Mexico DF, Mexico. rlozano@salud.gob.mx
Lancet (London, England)
|November 14, 2006
まとめ
メキシコ メキシコ メキシコ メキシコ メキシコ
科学分野:
- 医療サービス 研究 医療サービス
- 公共衛生政策 公共衛生政策
- 医療システムのパフォーマンス 医療システムのパフォーマンス
背景:
- 分散型医療システムには,説明責任と進歩の監視のためのパフォーマンスベンチマークが必要です.
- メキシコの保健省は,重要なパフォーマンス指標として,有効なカバーを活用しています.
- 効果的なカバーは,健康システムによってもたらされる実際の健康上の利益を,その可能性に比べて測定します.
研究 の 目的:
- 効果的なカバーメトリックを使用してメキシコ州のパフォーマンスをベンチマークするために.
- 異なる地域と介入における効果的なカバーに影響を与える要因を特定する.
- メキシコの保健情報システムの発展を促し,将来の保健政策を導く.
主な方法:
- 州の調査,生命体の登録,病院退院記録から得られたデータを活用した.
- 2005-06年の間に14の医療介入の有効なカバーをモニタリングしました.
- 効果的な医療保障,公衆衛生支出,社会経済的要因との関係を分析した.
主要な成果:
- 総実効覆盖率は,54.0% (チアパス州) から65.1% (連邦区) であった.
- 母親と子供の健康への介入は,他の介入よりも高い効果的なカバーを示しました.
- 効果的な被覆率は,一人当たりの公衆衛生支出,特に母子保健以外の医療介入と正の相関関係を示した.
結論:
- 効果的なカバーベンチマークは,質の高いサービス提供と保健システムの管理に重点を置くことを促進します.
- 州と富のクインティルの間で,有効な保険の有意な格差が存在します.
- 介入の選択と国家ベンチマーク機関の設立のための勧告が提供されています.
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