在巴勒斯坦的医疗保健服务中使用瓦斯塔的混合方法研究:预测因素,后果和建议的解决方案
Adel Takruri1, Inad Nawajah2, Carol El Jabari3
1Grants Office, Hebron University, Hebron, Palestine. adelt@hebron.edu.
BMC health services research
|October 20, 2023
概括
浪费,利用个人联系在医疗保健中获得优惠待遇,会对服务质量和公平性产生负面影响. 解决系统性和文化因素对于获得更公平的医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 公平的医疗保健是人权,但优惠待遇和歧视仍然存在.
- 瓦斯塔利用个人联系来影响,在获得服务方面创造了不公平的优势.
- 本研究探讨了医疗保健中的浪费,其驱动因素及其对服务公平性和质量的影响.
研究的目的:
- 调查瓦斯塔在医疗保健中的使用率和影响因素.
- 分析浪费对医疗保健公平性和质量的影响.
- 确定在医疗保健系统中减轻浪费的战略.
主要方法:
- 混合方法方法结合了巴勒斯坦 (约旦河西岸和加沙) 的定量调查和定性访谈.
- 使用后勤回归进行定量分析,以评估废物使用与人口/社会经济变量之间的关系.
- 对采访成绩单的定性内容分析,以探索浪费的后果.
主要成果:
- 与西岸相比,废物使用在难民营居民和加沙更为普遍.
- 政府雇员报告说,使用瓦斯塔的情况较高.
- 定性数据显示,浪费对医疗保健质量和公平性产生负面影响.
结论:
- 在医疗保健中浪费的使用对服务的公平性和质量产生了不利影响.
- 实施高效的流程,问责制,透明度和培训可以减少对人员的依赖.
- 解决系统和文化因素对于实现公平和道德的医疗保健系统至关重要.
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