非洲卫生系统要素的融资:一个范围审查
Humphrey Cyprian Karamagi1, David Njuguna2, Solyana Ngusbrhan Kidane1
1Data Analytics and Knowledge Management, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo.
PloS one
|September 13, 2023
概括
计划实现全民健康覆盖 (UHC) 需要了解所有系统要素的健康融资. 目前的数据收集往往忽略了关键领域,需要改善可持续医疗保健系统的支出跟踪.
科学领域:
- 卫生系统研究 卫生系统研究
- 卫生经济学 卫生经济学
- 全民健康覆盖的融资
背景情况:
- 实现全民健康覆盖 (UHC) 需要长期的财务规划.
- 医疗系统各个要素的当前医疗融资机制缺乏详细的概念化.
- 关于利用非洲卫生系统的各种资金来源的证据有限.
研究的目的:
- 来自非洲卫生系统内的各种资金来源,生成关于优化资源利用的证据.
- 审查有关卫生融资机制及其与卫生系统要素的相互作用的现有文献.
主要方法:
- 使用Arksey & O'Malley和Levac,Colquhoun & O'Brien框架进行了全面的范围审查.
- 在Medline,Cochrane图书馆,PubMed,WHO,世界银行和谷歌学者数据库中进行了广泛的搜索.
- 来自156项选定的研究 (1975-2021) 的数据进行了叙事综合,包括专题分析和描述统计数据.
主要成果:
- 公共来源是医疗融资的主要形式.
- 很大一部分研究集中在服务提供 (45%),人力资源 (13%) 和医疗产品 (5%) 上.
- 全球卫生支出追踪未能捕捉包括无形资产在内的所有基本卫生系统维度的资金.
结论:
- 迫切需要改善卫生系统各个维度的支出跟踪.
- 制定一个全面的框架来评估卫生融资来源是必不可少的.
- 未来的框架应根据效率,可行性,可持续性和公平性来评估融资.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.3K
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...
3.3K
01:30Primary Healthcare Services
1.4K
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...
1.4K
01:30Health Information Technology and Healthcare Information System
867
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
867
01:11Secondary Healthcare System
1.5K
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...
1.5K
01:29Issues And Trends In Healthcare Delivery System
5.7K
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...
5.7K
01:28International Nursing Organizations II
1.0K
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...
1.0K