护理网络的融资:来自六个国家的跨案例分析
Pablo Villalobos Dintrans1,2, Sanam Roder-DeWan3,4, Huihui Wang3
1World Bank, Washington, DC, USA pvillalobos.d@gmail.com.
探索六个国家的护理网络 (NOC) 的财务安排,揭示了不同的自上而下的和自下而上的战略. 了解这些财务模型对于改善健康结果至关重要,尤其是在低收入环境中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策分析 卫生政策分析
- 医疗保健系统比较研究
背景情况:
- 护理网络 (NOC) 越来越多地被认为具有改善卫生系统协调和结果的潜力.
- 了解支持这些网络的财务安排对于它们的成功实施和可持续性至关重要.
研究的目的:
- 描述六个不同国家的大型护理网络 (NOC) 的财务安排.
- 确定NOC融资中的共同元素,战略和模式.
- 分析融资功能:收集资源,组合和采购.
主要方法:
- 一个描述性研究,采用修改的交叉案例分析.
- 考察阿根廷,澳大利亚,加拿大,新加坡,英国和美国的卫生系统.
- 专注于大型NOC的融资功能.
主要成果:
- 各国对NOC的实施和融资有着不同的策略,大致分为自上而下的 (集中融资) 和自下而上的 (基于项目融资) 模式.
- 国家医疗中心的目标是通过提供者协调,利用专用资源,激励网络形成,额外服务和基于绩效的激励措施来改善健康结果.
结论:
- 这些发现强调了理解NOC设计和实施的财务影响和替代策略的重要性.
- 这种知识对于促进低收入和中等收入国家改善健康状况尤为重要.
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