当代公共卫生金融:各种定义,模式和影响
Jason M Orr1, Jonathon P Leider1, Rachel Hogg-Graham2
1Center for Public Health Systems, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Annual review of public health
|December 18, 2023
概括
公共卫生资金分散,导致健康状况不佳和经济影响. 简化融资,改进数据和确保公平投资可以加强公共卫生系统.
科学领域:
- 公共卫生 公共卫生
- 医疗系统融资 医疗系统融资
- 卫生经济学 卫生经济学
背景情况:
- 公共卫生系统面临着来自不同合作伙伴和优先事项的复杂,分散的资金.
- 资金不足和"资金缺失"加剧了可预防的死亡率,疾病负担,并阻碍了社会经济发展.
- COVID-19大流行突出并加剧了公共卫生领域这些现有的金融挑战.
研究的目的:
- 分析分散的公共卫生融资对服务提供和健康结果的影响.
- 确定估计公共卫生资源需求和当前分配的挑战.
- 提出改善公共卫生投资可持续性和公平性的战略.
主要方法:
- 分析公共卫生融资结构及其碎片化.
- 对资源估计和分配的数据系统进行审查.
- 审查融资波动和不公平的后果.
主要成果:
- 分散的资金阻碍了服务提供,造成了资源不平等,导致了波动.
- 资源估计中的困难使公共卫生资源充足的挑战复杂化.
- 目前的系统导致健康结果和经济后果低于最佳.
结论:
- 拆分资金机制可以实现更灵活的资源分配.
- 现代化和标准化数据系统对于准确的资源评估至关重要.
- 确保公平和可持续的公共卫生投资对于系统弹性至关重要.
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