使用系统思维方法识别卫生系统的关键组件:一个范围审查
Mozhgan Emami1, Ali Akbar Haghdoost2, Vahid Yazdi-Feyzabadi3,4
1Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
这项研究确定了卫生系统组件的18个主要和45个子类别. 这些组件被分为五个维度,使用平衡得分卡 (BSC) 框架来更好地规划卫生系统.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 有效的卫生系统规划需要了解所有组件及其因果关系.
- 对卫生系统的全面了解对于动态规划和目标定位至关重要.
- 该研究解决了对分析卫生系统组件的结构化框架的需求.
研究的目的:
- 在特定的框架内确定卫生系统的全面维度.
- 系统地分析卫生系统的关键组成部分.
- 为了解卫生系统动态提供结构化的方法.
主要方法:
- 采用范围审查方法来确定卫生系统的关键组成部分.
- 从国际和波斯数据库 (Scopus,科学网,PubMed,Embase,Magiran,SID) 中提取了61项研究.
- 内容分析和主题分类使用平衡成绩卡 (BSC) 框架进行.
主要成果:
- 卫生系统的组成部分被分为18个主要类别和45个子类别.
- 这些组成部分在BSC框架内进一步分为五个维度:人口健康,服务提供,增长和发展,融资以及治理和领导力.
- 该研究提供了卫生系统组件的详细细分.
结论:
- 政策制定者和规划者必须在一个动态系统中考虑这些已识别的因素.
- 了解卫生系统组件的因果关系网络对于改善至关重要.
- 这些发现为提高卫生系统绩效和战略规划提供了一个框架.
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