禁止,限制,鼓励或购买:我们应该如何与私人医疗部门合作?
Dominic Montagu1, Catherine Goodman2
1University of California, San Francisco, CA, USA.
Lancet (London, England)
|July 1, 2016
概括
在低收入国家改善私人医疗保健的干预措施是有希望的, 但缺乏可靠的证据. 目前的战略面临着可扩展性和实现全民健康覆盖的挑战.
科学领域:
- 卫生政策和系统研究
- 国际卫生
- 健康经济学
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,私营营利医疗部门的重要作用需要加强其社会效益的战略.
- 担心私营部门的表现激发了对有效干预措施的研究.
研究的目的:
- 审查旨在改善LMIC私人卫生部门运作的干预措施的有效性和局限性.
- 评估促进私人提供者质量和覆盖范围的干预措施的证据是否足够.
主要方法:
- 对私营部门对LMIC干预的现有证据进行系统审查.
- 分析监管方法和基于市场的策略,如社会营销,特许经营,优惠券和合同.
主要成果:
- 禁止私营部门通常是无效的; 监管方法在LMIC中面临着持续的挑战.
- 关于干预措施 (社会营销,特许经营,优惠券,合同) 对临床质量,覆盖范围,公平性和成本效益的影响的证据不足.
- 干预措施面临着可扩展性和范围的限制,这限制了它们对全民健康覆盖的有用性.
结论:
- 虽然对LMIC私人卫生部门的直接禁令和监管具有挑战性,但基于市场的干预措施具有潜力,但需要更强有力的证据.
- 目前的干预措施不足以实现全民健康覆盖,但可以在有限的范围内解决特定的健康问题.
相关概念视频
Introduction To Health Care Delivery System
4.5K
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...
4.5K
Primary Healthcare Services
2.6K
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...
2.6K
Secondary Healthcare System
2.2K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.2K
Methods Of Healthcare Delivery System
4.2K
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...
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...
4.2K
Issues And Trends In Healthcare Delivery System
6.4K
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...
6.4K
Tertiary Healthcare System
2.3K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.3K


