具有有效覆盖率的墨西哥州绩效的基准评估
Rafael Lozano1, Patricia Soliz, Emmanuela Gakidou
1Secretaría de Salud, Reforma 450 Col Juarez CP 06600, Mexico DF, Mexico. rlozano@salud.gob.mx
Lancet (London, England)
|November 14, 2006
概括
墨西哥 墨西哥 墨西哥 墨西哥
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生系统的表现 卫生系统的表现
背景情况:
- 分散的卫生系统需要进行绩效基准评估,以实现问责制和进度监测.
- 墨西哥卫生部将有效覆盖率作为一个关键绩效指标.
- 有效覆盖率衡量健康系统相对于其潜力的实际健康益处.
研究的目的:
- 用有效覆盖率指标对墨西哥各州的绩效进行比较.
- 确定影响不同地区和干预措施有效覆盖的因素.
- 为墨西哥健康信息系统的发展提供信息,并指导未来的健康政策.
主要方法:
- 利用了来自州调查,生命记录和医院出院记录的数据.
- 在2005-06期间监测了14项健康干预措施的有效覆盖率.
- 分析了有效覆盖,公共卫生支出和社会经济因素之间的关系.
主要成果:
- 总体有效覆盖率从54.0% (奇亚帕斯州) 到65.1% (联邦区) 不同.
- 母婴健康干预措施的有效覆盖率高于其他干预措施.
- 有效覆盖率与人均公共卫生支出有积极的相关性,特别是在非母婴健康干预方面.
结论:
- 有效的覆盖率基准测试促进了对提供优质服务和卫生系统管理的关注.
- 在各州和财富五分之一之间存在有效覆盖率的显著差异.
- 为选择干预措施和建立国家基准评价机构提供了建议.
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