プライマリヘルスケアをサポートする国家および地方のケアモデル: 混合方法の研究
Mary Louisa Plummer1, Nuria Toro Polanco1, Faraz Khalid2
1World Health Organization, Division of Universal Health Coverage and Life Course, Department of Integrated Health Services, Clinical Services and Systems Unit, Geneva, Switzerland.
The International journal of health planning and management
|February 21, 2026
まとめ
介護の医療モデル (MOC) をプライマリヘルスケア (PHC) に向けて再方向化するには,明確な発音と実践的な計画が必要です. 成功したMOCは,初等医療の能力を強化し,サービスを統合し,調整された,人々中心の提供を保証します.
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
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 世界保健総会は,各国に対し,2020年にプライマリヘルスケア (PHC) のケアモデル (MOC) に移行するよう要請した.
- MOCの概念化と実施方法を理解することは,この世界的な健康再方向化にとって極めて重要です.
研究 の 目的:
- "介護モデル"という概念の一般的な理解と適用について説明する.
- 実施されているMOCとその構成要素を特定し,国家および地方レベルでPHCをサポートします.
主な方法:
- PubMed,Global Index Medicus,WHOの出版物からの文献のスコーピングレビューである.
- 東地中海地域の7カ国の国家保健計画者との質的インタビュー.
主要な成果:
- ほとんどの文献は,明示的な定義ではなく,コンポーネントを通じて暗黙的にMOCを定義しています.
- 78件の論文は,多くの場合,状態特有の,地方レベルのMOCを詳細に記載しています.
- 12の論文とすべてのインタビュー対象者は,PHC,サービス統合,人中心の提供を優先する国家/大規模な地方MOCを強調しました.
結論:
- PHC指向のMOCの重要な構成要素には,強化された初等医療能力,多学科チーム,堅固なレベル間のリンク,効率的な患者経路,および縦方向の調整が含まれます.
- 意図されたMOCを明示的に定義し,実践的,協調的な計画に従事することは,国家PHCの成功的な方向転換に不可欠です.
関連する概念動画
01:26Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
01:30Primary Healthcare Services
2.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.3K
01:25Models of Health Promotion and Illness Prevention I
2.9K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.9K
01:18Models of Health Promotion and Illness Prevention II
2.2K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.2K
01:26Traditional Level Of Health Care System
3.5K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.5K
01:29Concepts of Health and Illness
18.8K
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
18.8K