巴基斯坦的卫生系统:第十八条宪法修正案后的表现和前景
Sania Nishtar1, Ties Boerma, Sohail Amjad
1Heartfile, Islamabad, Pakistan. sania@heartfile.org
Lancet (London, England)
|May 21, 2013
概括
巴基斯坦 巴基斯坦 巴基斯坦.
科学领域:
- 卫生系统的表现 卫生系统的表现
- 公共卫生政策 公共卫生政策
- 联邦制与健康治理 联邦制与健康治理
背景情况:
- 巴基斯坦的联邦结构被第十八条宪法修正案显著改变.
- 在过去的65年里,卫生系统取得了一些改善,但关键指标仍落后于同等国家.
- 高昂的自费支出 (78.08%) 和私营部门的主导地位 (75%) 标志着医疗保健的提供.
研究的目的:
- 评估巴基斯坦卫生系统在第十八条宪法修正案后的表现.
- 识别在权力下放结构中卫生改革的挑战和机会.
- 为未来的健康政策和规划提供信息.
主要方法:
- 对卫生系统绩效指标的分析.
- 审查治理结构和医疗服务提供模式.
- 检查对人口的财务负担.
主要成果:
- 巴基斯坦的关键健康指标落后于同行国家,尽管取得了一些改善.
- 显著的自费医疗支出影响到78.08%的人口.
- 私营部门提供大多数医疗服务,医生与护士/助产士的比例为2:1.
结论:
- 复杂的治理问题和投资不足阻碍了巴基斯坦卫生系统的进步.
- 卫生责任的转移为改革提供了关键的机会.
- 需要有针对性的政策,机构和立法行动来克服现有的卫生系统挑战.
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