实现弹性卫生系统的实际策略:范围审查的结果
David Bishai1, Basma M Saleh2, Maryam Huda3
1University of Hong Kong School of Public Health, Hong Kong, China. dbishai@hku.hk.
BMC health services research
|March 6, 2024
概括
这一系统性审查确定了增强卫生系统性的实际策略. 专注于集体的认识,思考和行动,公共卫生部门作为管家,是改善的关键.
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
- 弹性科学 弹性科学
背景情况:
- 医疗系统面临越来越多的挑战,需要提高弹性.
- 现有的文献缺乏关于实际的弹性建设策略的综合观点.
- 需要系统方法来促进医疗保健的适应性和稳定性.
研究的目的:
- 系统地审查改善卫生系统恢复力的实际策略.
- 确定在建立弹性卫生系统中的关键组件和组织角色.
- 探索测量工具和弹性倡议的可持续性.
主要方法:
- 进行了符合PRISMA 2020标准的系统审查.
- 审查了自2015年以来出版的同行评审和灰色文献.
- 分析包括了65篇相关的英语论文.
主要成果:
- 实用策略强调系统变化,以集体认识,思考和行动.
- 国家和地方公共卫生部门被确定为潜在的弹性主管.
- 测量工具,包括基本公共卫生功能 (EPHF) 的指标,可以对抗性进行基准测试和改进.
- 该领域需要经验试验,将干预与结果联系起来.
结论:
- 对实践策略的严格评估对于卫生系统的弹性至关重要.
- 实施测量周期应该是持续改进的首要任务.
- 需要进一步的研究,以建立基于证据的干预措施,以提高卫生系统的弹性.
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