印度综合医疗保健模型 (IMIH):在资源有限的环境中,协调推系统的概念框架
Moonis Mirza1, Madhur Verma2, Arun Aggarwal3
1Department of Hospital Administration, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India. moonismirza@gmail.com.
BMC health services research
|January 9, 2024
概括
印度 印度 印度
科学领域:
- 医疗保健提供系统
- 综合护理模式 综合护理模式
- 资源有限的设置.
背景情况:
- 印度面临着日益加剧的慢性疾病负担和多重疾病,这给其医疗保健系统 (HDS) 带来了压力.
- 现有的综合护理 (IC) 模式,通常来自高收入国家,对于印度的资源限制是不可行的.
- 通过协调推和综合护理优化医疗保健对于连续性至关重要.
研究的目的:
- 审查印度现有的综合护理模式的适用性.
- 为印度资源有限的环境制定定制的综合护理模式.
主要方法:
- 一个两阶段的方法:叙事文献的审查和一个新的模型的概念化.
- 文献搜索发现了基于世卫组织框架的现有IC模型中的差距.
- 拟议的印度综合医疗保健模型 (IMIH) 是由共同作者构想和验证的.
主要成果:
- 由于高成本,实施复杂性和焦点限制,现有的IC模型是不可行的.
- 印度综合医疗保健模式 (IMIH) 提出了使用现有HDS的三个整合水平 (宏观,中等,微观).
- 关键IMIH组件包括中央门户控制室,桶溢出模型和创新的OPD设计.
结论:
- IMIH是一个经济上可行的模型,专门为低收入和中等收入国家 (LMICs) 量身定制.
- 它优化了现有资源的护理连续性,与全民健康覆盖 (UHC) 的目标保持一致.
- 实施需要解决社会政治和行政挑战,因为健康是印度的一个国家主题.
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