印度一家支持信息和通信技术的初级医疗保健机构的成本分析
Dharamjeet Singh Faujdar1, Shankar Prinja2, Tarundeep Singh2
1Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
The Indian journal of medical research
|June 7, 2023
概括
在初级医疗保健中心 (PHC) 实施信息和通信技术 (ICT) 增加了大约17.7%的成本. 将这种支持ICT的医疗保健模式扩展到州级是财政上可持续的,只需要6%的成本增加.
科学领域:
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 信息和通信技术 (ICT) 被认为具有提高初级医疗保健 (PHC) 的潜力.
- 关于在PHC环境中实施ICT相关的具体成本的证据有限.
- 本研究重点是对ICT在城市公共部门PHC的整合进行经济评估.
研究的目的:
- 估计 PHC 综合健康信息系统的定制和实施成本.
- 确定ICT对PHC交付成本的经济影响.
- 评估在州一级扩大支持ICT的医疗保健中心的可行性.
主要方法:
- 从卫生系统的角度看经济成本,使用自下而上的方法.
- 识别,测量和估值所有资本和循环资源,以支持ICT的PHC.
- 资本项目的年化和对参数不确定性的敏感性分析.
主要成果:
- 支持ICT的PHC的年度成本为788万卢比,额外的ICT成本为139万卢比 (17.7%).
- 在支持ICT的PHC中,人均成本增加了56卢比.
- 国家级扩展 (400个PHC) 估计ICT经济成本为0.47亿卢比/年/PHC,增长6%.
结论:
- 在印度各州实施支持ICT的PHC需要可管理的6%的成本增加,这表明财政可持续性.
- 基础设施,人力资源和供应等上下文因素对于成功提供高质量的PHC服务至关重要.
- 该研究为考虑在初级医疗保健中整合ICT的政策制定者提供了有价值的成本数据.
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