民間セクターにおける医療の業績:普遍的な医療保険への影響
Rosemary Morgan1, Tim Ensor2, Hugh Waters3
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lancet (London, England)
|July 1, 2016
まとめ
民間医療セクター
科学分野:
- 医療サービス研究
- 健康政策
- 世界保健
背景:
- 低所得国や中所得国において 民間セクターは重要な医療提供者です
- 医療の普及への貢献は多様で 慎重に検討する必要があります
- 業績は通常,品質,公平性,効率性によって評価されます.
研究 の 目的:
- 民間医療部門の業績に影響を与える多面的な要因を分析する.
- 公共医療と民間医療の相互作用を理解する
- 民間セクターの普遍的な健康保険への貢献を改善するための戦略を策定する.
主な方法:
- 民間医療部門の業績に関する既存の文献のレビュー
- 患者の特徴,公共部門と民間部門の構造,規制の枠組みの分析
- 民間事業者の特徴 (規模,目標,能力) を検討する.
主要な成果:
- 民間部門の業績は 患者の人口統計や セクター構造や規制によって 形作られています
- プロバイダーの特徴は 状況要因と相互作用して 結果を決定します
- 民間部門の業績は,公共部門の構造と業績と密接に関連しています.
結論:
- 民間部門の業績を向上させるためには,この部門を広く対象とした介入が必要である.
- 医療分野全体の効果的な規制は 国民の利益のために不可欠です
- 公共セクターと民間セクターの両方を巻き込むシナジスティックな戦略は,普遍的な健康保険の実現のために必要である.
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