购买结果的方法? 在发展中国家提供医疗服务的合同签订
Benjamin Loevinsohn1, April Harding
1World Bank, 1818 H Street NW, Mailstop MC11-1106, Washington DC, USA. bloevinsohn@worldbank.org
Lancet (London, England)
|August 23, 2005
概括
与非政府组织 (NGO) 签订合同显著改善了初级医疗保健的提供,在各种环境中显示出快速,持续的结果. 这种具有成本效益的战略,每人每年花费3-6美元,应该在全球范围内扩展.
科学领域:
- 公共卫生 公共卫生
- 医疗服务管理 医疗服务管理
- 国际卫生健康国际卫生
背景情况:
- 改善卫生服务提供对于实现全球卫生目标至关重要.
- 与非政府组织 (NGO) 等非国家实体签订合同是改善医疗保健的建议策略之一.
- 医疗服务合同的全球经验需要全面审查.
研究的目的:
- 审查全球在卫生服务提供方面签订合同的经验.
- 评估初级保健合同的有效性和可持续性.
- 确定合同基础卫生服务的成本效益.
主要方法:
- 十个全球案例研究的回顾,对初级保健服务的合同提供.
- 分析合同服务的有效性,可持续性和成本.
- 评估各种医疗保健环境中的挑战和成功.
主要成果:
- 签订初级保健服务合同在多个环境中表现出显著的有效性和快速改善.
- 预期的合同困难是最小的,或没有妨碍有效性.
- 在9个长期合同 (超过3年) 中,有7个持续和扩展.
- 基本服务套餐的成本在低收入国家每人每年大约在3美元到6美元之间.
结论:
- 与非国家实体,特别是非政府组织签订合同是改善初级医疗保健的高效策略.
- 该模型是可持续的,可扩展的,在低收入环境中具有成本效益.
- 建议扩大医疗服务合同,并对未来努力进行严格的评估.
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