合作伙伴关系的初级医疗保健:巴布亚新几内亚的一个案例研究
Georgina Dove1,2, Angela Kelly-Hanku3,4, Jethro Usurup5
1University of New South Wales, Sydney, Australia. g.dove@student.unsw.edu.au.
Global health, science and practice
|January 22, 2024
概括
公共私人伙伴关系 (PPP) 的合作对于初级医疗保健 (PHC) 提供至关重要. 成功取决于关系,时间和治理,而不是公式,参与者网络理论有助于复杂的利益相关者管理.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在低收入和中等收入国家,公私合作伙伴关系 (PPP) 经常被用来加强初级医疗保健 (PHC) 提供.
- 本研究研究了巴布亚新几内亚的一项企业社会责任倡议,该倡议采用了PPP模式来加强PHC服务.
研究的目的:
- 探索初级医疗保健的特定公私伙伴关系中的协作过程.
- 确定影响公共和公共合作伙伴关系对PHC合作有效性的因素.
- 评估Actor-Network理论 (ANT) 在理解和管理PPP动态方面的实用性.
主要方法:
- 与参与PPP的20个利益相关者进行了定性访谈.
- 审查关键项目文件.
- 使用通用归纳方法进行数据分析,以演员网络理论 (ANT) 为框架.
主要成果:
- 四个主要主题出现了:人际关系加速了合作,合作需要时间,正式的治理结构鼓励合作,内部变化破坏了合作.
- 演员-网络理论在PPP中概念化复杂的演员动态方面被证明是有效的.
- 获得了关于改善PPP的设计和管理,以便更有效地提供PHC的见解.
结论:
- 有效的合作对于公共和私人合作在初级卫生保健中的成功至关重要.
- 协作受到参与者的互动,关系,时间和治理结构的影响.
- 参与者网络理论为设计,理解和管理PPP中多样化的利益相关者关系提供了有价值的框架.
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