基于人口的综合护理融资价值和指导原则:一个经验定性研究
Maude Laberge1,2,3, Francesca Brundisini1,3, Imtiaz Daniel4,5
1Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, 1050 av de la Médecine, Québec, QC, G1V 0A6, Canada.
Heliyon
|February 6, 2024
概括
综合护理的融资模式面临着持续的障碍. 确定问责制,透明度,公平和创新等核心价值观对于设计有效的医疗保健融资政策至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
- 卫生经济学 卫生经济学
背景情况:
- 综合护理模式的好处得到广泛认可,但持续的资金障碍阻碍了其实施和质量.
- 当前的资金结构可能会无意中损害综合护理的质量,需要重新评估基础原则.
研究的目的:
- 确定和探索应该塑造医疗保健政策决策的核心价值观和指导原则,以融资综合医疗保健.
- 了解卫生政策官员,管理人员和研究人员如何在资助政策的背景下对这些价值观进行概念化.
主要方法:
- 与十四名卫生政策官员,经理和研究人员进行了半结构化采访.
- 引起和探索价值观和指导原则的概念化,这些价值观和指导原则是医疗保健融资政策的基础.
主要成果:
- 作为指导基于人口的综合融资模式的四个关键价值观出现了:问责制和诚信,透明度,公平和创新.
- 有效的融资机制需要透明的治理,强大的问责制框架,公平的资源分配,并专注于创新.
结论:
- 鉴定出来的价值观和原则可以为综合护理提供更充分,更有效的融资模式的开发提供信息.
- 未来的研究应该评估这些价值对决策者关于资金分配和投资的决策的影响.
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