"反党派":解开菲律宾的反对派地方政治和医疗保健权力下放
Vincen Gregory Yu1,2, Gideon Lasco1,2,3, Clarissa C David1
1School of Government, Ateneo de Manila University, Katipunan Ave., Loyola Heights, Quezon City 1108, Philippines.
Health policy and planning
|June 20, 2023
概括
菲律宾的当地反对派政治,被称为"反党派",通过政治化任命和阻碍服务交付,显著恶化了健康结果. 这影响了卫生工作者和公民,突出了卫生系统的脆弱性.
科学领域:
- 公共卫生 公共卫生
- 政治科学 政治科学是指政治学.
- 社会学 社会学 社会学
背景情况:
- 发展中国家的医疗保健权力下放往往与当地政治交织在一起.
- 菲律宾1991年"地方政府法"将卫生治理权转移到地方政府单位.
- 这种权力转移在卫生系统管理和服务提供方面带来了重大挑战.
研究的目的:
- 分析地方反对派政治 ("反党派") 对菲律宾卫生结果的影响.
- 在这种政治背景下,探索卫生工作者,官员和公民的生活经验.
- 在政治两极分化的情况下,确定卫生系统改革的政策干预措施.
主要方法:
- 采用了多个地点的定性实地研究.
- 这项研究考察了"反党"政治的概念.
- 从卫生工作者,政府官员和普通公民那里收集数据.
主要成果:
- "反党派"政治加剧了健康结果.
- 它导致卫生当局之间的内斗和政治化的任命.
- 服务提供受到阻碍,因为政治家优先考虑可见的项目和选择性护理.
结论:
- 医疗保健系统容易受到政治影响,对卫生工作者和结果产生不利影响.
- 该研究确定"反党派"政治是恶化健康的关键因素.
- 需要进行政策改革,以解决政治两极分化问题,并确保普及医疗保健.
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