为实现全民健康覆盖和健康安全建立一个有弹性的卫生系统:系统性审查
Ayal Debie1,2, Adane Nigusie3, Dereje Gedle4
1Departement of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia. debieayal@gmail.com.
Global health research and policy
|January 4, 2024
概括
建立一个有弹性的卫生系统 (RHS) 需要具体的背景策略,如重新分配卫生工作者和任务转移. 这些方法是实现全民健康覆盖 (UHC) 和卫生安全的关键,克服现有的障碍.
科学领域:
- 加强卫生系统 加强卫生系统
- 公共卫生政策 公共卫生政策
- 全球卫生安全 全球卫生安全
背景情况:
- 弹性卫生系统 (RHS) 对于实现全民健康覆盖 (UHC) 和健康安全至关重要.
- 目前对建立RHS以改善UHC和健康安全的策略的理解是有限的.
研究的目的:
- 系统地审查和综合现有关于建立弹性卫生系统方法的文献.
- 确定增强全民健康覆盖和健康安全的战略.
主要方法:
- 在PubMed,Embase和Scopus中从2000年到2021年进行系统的文献搜索.
- 利用了四个领域的搜索术语:弹性,卫生系统,UHC和健康安全.
- 使用世卫组织卫生系统构建块框架和质量评估,采用系统的叙事合成.
主要成果:
- 包括57篇文章,确定了基于环境的卫生工作者重新分配,任务转移和基于结果的融资作为关键的RHS构建者.
- 高度的政治承诺,社区规划和多部门合作对于UHC和卫生安全至关重要.
- 确定了一些限制因素,包括缺乏准入,不公平的服务,监管不善,领导力薄弱和不平等.
结论:
- 先进的基础设施和劳动力是必要的,但不足以实现卫生系统的弹性.
- 卫生工作者的特定环境再分配,任务转移,基于结果的融资和综合的初级医疗保健方法对于建立RHS至关重要.
- 这些策略对于推进UHC和健康安全至关重要.
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