利用多元主义改善孟加拉国的健康状况
Syed Masud Ahmed1, Timothy G Evans, Hilary Standing
1Centre for Equity and Health Systems, icddr,b, Dhaka, Bangladesh; Centre of Excellence for Universal Health Coverage, James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
概括
孟加拉国尽管卫生系统疲软,但在卫生方面取得了重大进展. 这种悖论的解释是多元化的环境促进了快速的变化和创新,需要积极的管理,以获得更好的治理和结果.
科学领域:
- 卫生系统研究 卫生系统研究
- 发展研究 发展研究 研究
- 公共卫生政策 公共卫生政策
背景情况:
- 孟加拉国在卫生和人类发展方面取得了显著的进步.
- 这一成功与卫生系统形成鲜明对比,由于基础设施和绩效问题,卫生系统经常被描述为软弱.
研究的目的:
- 解释孟加拉国卫生系统疲软的健康收益的悖论.
- 为理解卫生系统多元化及其结果提出一个概念框架.
主要方法:
- 分析官方数据和研究研究.
- 包括孟加拉国卫生部门的案例研究和专家知识.
- 为卫生系统多元化制定概念框架.
主要成果:
- 一个高度多元化的卫生系统,多样化的利益相关者和分散的管理,促进了快速的变化和创新.
- 多元主义虽然推动了进步,但与不良的治理,监管以及滥用毒品等问题有关.
结论:
- 卫生系统多元化的积极管理至关重要,重点关注参与式治理,问责制,信息系统和能力建设.
- 孟加拉国在多元卫生系统方面的经验为全球卫生系统面临的挑战提供了洞察力.
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