管理公共私营组合以实现全民健康覆盖
1Nossal Institute for Global Health, University of Melbourne, Melbourne, VIC, Australia; Institute for Global Health and Development, Queen Margaret University Edinburgh, Edinburgh, UK.
Lancet (London, England)
|July 1, 2016
概括
管理私人卫生部门对于在低收入和中等收入国家实现全民健康覆盖 (UHC) 至关重要. 政策必须考虑私人提供者的多样性,以提高卫生系统的整体性能.
科学领域:
- 卫生政策和系统研究
- 全球健康
- 医疗管理
背景情况:
- 私营部门在低收入和中等收入国家提供医疗保健方面发挥着越来越重要的作用.
- 全民健康覆盖 (UHC) 需要综合管理所有卫生系统组成部分,包括私营部门.
- 有效的政策设计需要一个系统的视角,优先考虑整体卫生系统的表现,而不是单个部门的收益.
研究的目的:
- 通过分析私人卫生部门,为实现低收入和中等收入国家的全民医疗保险制定政策和研究议程.
- 探索适合私人医疗服务提供者的政策策略.
- 应对不同类型的私人医疗机构所带来的挑战和机遇.
主要方法:
- 综合现有文献和相关论文中的关键信息.
- 将研究结果推广到政策和研究方向.
- 为了有针对性的政策分析,将私人提供者分为四种类型.
主要成果:
- 私人医疗服务提供者非常多元,规模,目标和质量各不相同.
- 医疗服务提供者有四种不同类型:低质量/低资质,非营利性,中小型的正式实践,以及不断增长的企业性商业医院.
- 了解这种异质性对于制定适当有效的管理政策至关重要.
结论:
- 需要有针对性的政策来有效管理多元化的私人卫生部门,以支持全民医疗保险的目标.
- 需要进一步的研究,特别是在快速扩张的企业医院领域.
- 系统方法对于整合私营部门对公平有效的卫生系统的贡献至关重要.
相关概念视频
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
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
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
International Nursing Organizations II
1.4K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.4K
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
Integrated Healthcare System
2.5K
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,...
2.5K


