走向社会包容:让农村的声音参与到卫生优先设定中
Aviva Tugendhaft1, Nicola Christofides2, Nicholas Stacey3
1SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
通过选择所有人一起 (CHAT) 工具,让农村人口参与卫生优先事项的制定,使个人和社区的偏好保持一致. 这种方法提高了卫生政策的参与度和接受度,尽管在优先事项方面存在一些人口差异.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在资源有限的环境中实现全民健康覆盖 (UHC) 需要优先考虑弱势群体并确保响应性健康政策.
- 让边缘化的声音参与卫生优先事项的制定是至关重要的,但实际应用和公众参与的结果,特别是与农村人口的参与,尚未得到充分探索.
研究的目的:
- 实施和评估一个修改后的优先设定工具,选择所有一起 (CHAT),以捕捉农村人口在卫生服务包设计中的权衡.
- 为了比较个人与团体的选择,并分析一个农村社区的个人优先事项的变化.
主要方法:
- 利用CHAT工具,使参与者能够将预算 (通过贴纸表示) 分配给各种健康主题和干预,无论是个人还是团体.
- 使用统计分析,包括中位数和四分位数间范围计算和威尔科克森等级总和测试,以比较选择.
主要成果:
- 个人健康优先事项与社会优先事项在很大程度上一致,个人和团体选择之间没有统计学上显著的差异.
- 根据人口特征,如年龄,观察到个人优先事项的显著差异.
结论:
- 在健康服务包设计中赋予个人权力,增加了参与,使个人和社区的优先事项保持一致,并提高了优先事项设定的合法性.
- 将小组审议与个人优先设定相结合,对于协调公共卫生政策中的不同偏好至关重要.
- 对公众参与过程的透明报告对于在卫生优先设定方面取得有价值和可操作的结果至关重要.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
相关概念视频
Primary Healthcare Services
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...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Methods Of Healthcare Delivery System
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...
Sustainable Development
Secondary Healthcare System
Dimensions of Health and Illness
