偏远农村地区社区护理发展前景:老利益相关者分析
Marco Liverani1,2,3, Khampheng Phongluxa4, Koukeo Phommasone5
1London School of Hygiene and Tropical Medicine, London, UK. marco.liverani@lshtm.ac.uk.
BMC health services research
|January 11, 2024
概括
在老的社区卫生计划面临服务提供方面的挑战,原因是访问和信任. 然而,社区卫生工作者可以弥合差距,需要仔细规划才能成功整合和扩张.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 社区健康 社区健康
背景情况:
- 在老,以社区为基础的卫生计划至关重要.
- 研究检查发展前景,挑战和机遇.
研究的目的:
- 评估社区对健康和医疗保健优先事项的看法.
- 确定实施挑战和政策格局.
- 探索新技术带来的机会.
主要方法:
- 与35个利益相关者进行了定性深入访谈.
- 涉及卫生系统的各个层面:中央,省级,地区和社区.
主要成果:
- 服务提供受到地理难以进入,通信障碍和歧视的阻碍.
- 社区卫生工作者可以作为文化经纪人扩大卫生系统的覆盖范围.
- 成功的整合需要关注实施模式,融资和卫生优先事项.
结论:
- 社区护理的扩展和整合面临着融资和治理障碍.
- 对初级保健和分权的重新关注提供了有利的政策环境.
- 维持和扩展计划需要战略规划和政策支持.
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