バングラデシュのより良い健康のために多元主義を活用する
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
まとめ
バングラデシュは,弱い保健システムにもかかわらず,健康上の大きな進歩を達成しました. このパラドックスは,急速な変化とイノベーションを促進する多元的な環境によって説明され,より良いガバナンスと成果のために積極的な管理が必要です.
科学分野:
- 医療システム研究 医療システム研究
- 開発研究 開発研究
- 公共衛生政策 公共衛生政策
背景:
- バングラデシュは,驚くべき健康と人間開発の進歩を示しています.
- この成功は,インフラやパフォーマンスの問題により,しばしば弱いと表現される保健システムと対照的です.
研究 の 目的:
- バングラデシュの弱い保健システムの中で健康上の利益のパラドックスを説明するために.
- 医療制度の多元化とその結果を理解するための概念的枠組みを提案する.
主な方法:
- 公式データと研究研究の分析.
- バングラデシュの保健セクターに関するケーススタディと専門知識を含める.
- 医療制度の多元化のための概念的枠組みの開発.
主要な成果:
- 多様なステークホルダーと分散管理を持つ高度に多元的な保健システムにより,急速な変化と革新が促進されました.
- 多元主義は進歩を促す一方で,悪質な統治,規制,薬物乱用などの問題と結びついている.
結論:
- 医療制度の多元化の積極的な管理は極めて重要であり,参加型ガバナンス,説明責任,情報システム,能力開発に重点を置いています.
- バングラデシュの多元的な医療制度の経験は,世界の医療制度の課題に対する洞察を提供します.
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