健康のための開発援助が,初等保健医療の進歩を促す方法を再考する
Tobias Kasper1, Gavin Yamey2, Sinead Dwyer3
1Independent Consultant, New York, NY, USA.
Lancet (London, England)
|November 15, 2023
まとめ
プライマリーヘルスケアへの投資を国際的にターゲットにすることで,世界的に大きな健康効果が得られます. このアプローチは,コミュニティのエンパワーメント,人々中心のケア,コミュニティの医療従事者の強化,デジタルツールと改善されたトレーニングに焦点を当てています.
科学分野:
- 世界保健
- 保健 システム の 強化
- 主要な医療
背景:
- 過去の世界保健キャンペーンは,証拠に基づいた,大きなインパクトを持つ投資に対する国際的資金の影響を示しています.
- 国際的な資金提供とともに 国内資源の動員を促すための成功モデルが存在します
研究 の 目的:
- 高度なインパクトのあるプライマリヘルスケア投資のための国際的資金調達を提唱し,特定する.
- 資金提供者の支援のための費用を考慮した,証拠に基づいた介入のパッケージを提案する.
主な方法:
- 特定で証拠に基づいたプライマリーヘルスケア介入の特定とコスト設定
- 地域社会への関与,人中心のケアモデル,地域医療従事者の強化に重点を置きます.
- デジタルツール,データシステム,訓練/監督メカニズムを強化する.
主要な成果:
- 必要な年間国際投資額: 3年間で187億米ドル (低) から385億米ドル (高).
- 提案された投資は,個人/コミュニティ,プライマリケアモデル,コミュニティの医療従事者を対象としています.
- デジタル/データシステムの横断的な支援と訓練/監督の質の向上
結論:
- 選択されたプライマリーヘルスケア分野への追加的な国際的な投資は,大きな健康への影響を手頃な価格でもたらすことができます.
- 59の低所得国や中所得国での介入の拡大は,有望な寄付者からの支援で実現可能である.
- この投資モデルは,世界的な疾病管理キャンペーンで 成功したパラダイムに基づいています.
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