医疗保健系统:评估和改革议程
Awad Mataria1, Rana Khatib, Cam Donaldson
1Institute of Community and Public Health, Birzeit University, Birzeit, occupied Palestinian territory.
Lancet (London, England)
|March 10, 2009
概括
由于历史安排和治理问题,建立有效的巴勒斯坦卫生计划一直没有成功. 军事占领加剧了挑战,阻碍了公平的医疗保健发展.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 中东研究 中东研究
背景情况:
- 在1993年奥斯陆协议之前,在被占领的巴勒斯坦领土创建统一卫生计划的努力已经开始了.
- 第一个官方的国家卫生计划于1994年推出,旨在协调主要的医疗保健提供者.
研究的目的:
- 分析巴勒斯坦被占领领土持续未能建立有效,高效和公平的卫生系统背后的原因.
- 确定历史卫生安排和治理对巴勒斯坦卫生部门的影响.
主要方法:
- 对巴勒斯坦被占领领土卫生部门发展的历史分析.
- 检查巴勒斯坦民族权力机构的结构和挑战.
- 评估军事占领和外国援助对卫生系统绩效的影响.
主要成果:
- 试图创建一个功能健康系统已经失败了十多年半.
- 失败归因于以色列军政府 (1967-1994) 的医疗保健安排和巴勒斯坦民族权力机构的局限性 (低效,腐败).
- 外国援助捐助者的偏好经常决定了优先事项,进一步复杂化了系统的发展.
结论:
- 巴勒斯坦被占领土的卫生系统面临着重大,持续的挑战.
- 军事占领严重加剧了现有的问题,使不平等现象延续.
- 提前发展和应急响应至关重要,但在职业环境下极其困难.
相关概念视频
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System
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 limited...
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 limited...
Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Primary Healthcare Services
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...
