低收入和中等收入国家的公私伙伴关系质量改善:系统性审查
Cassandra B Iroz1, Rohit Ramaswamy2, Zulfiqar A Bhutta3,4
1Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. cassandra.iroz@northwestern.edu.
低收入和中等收入国家 (LMICs) 的公私伙伴关系 (PPP) 显示出与高收入国家相似的成功因素. 然而,模糊的描述阻碍了对PPP对质量改进 (QI) 结果的影响的理解.
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:
- 公私伙伴关系 (PPP) 是在低收入和中等收入国家 (LMICs) 实施健康改善计划的常见机制.
- 需要对在LMIC中PPP中质量改进 (QI) 方法的目标和影响的文献进行系统审查.
研究的目的:
- 系统地审查有关低收入和中等收入国家 (LMICs) 公私伙伴关系 (PPP) 质量改善 (QI) 方法的目标和影响的文献.
主要方法:
- 在2022年3月之前发表的研究中搜索SCOPUS和灰色文献.
- 一位评论员选了摘要和全文研究;第二位作者审查了抽象的研究特征,设置,设计,结果和经验教训.
主要成果:
- 包括144项研究,确定了在LMICs中成功的QI项目的五个关键主题:领导力支持,本地所有权,共享学习,弹性和强大的数据可视化.
- 在QI工具,研究设计和结果措施中观察到显著的异质性.
- 大多数研究都没有详细描述干预组件,财务安排和正式的PPP模式,阻碍了对私营部门资本部署和投资回报的分析.
结论:
- 在LMICs中,在PPP中获得成功的QI的因素在很大程度上反映了高收入国家的因素.
- 对PPP结构,财务安排和角色的模糊描述妨碍了对治理影响的有意义的结论.
- 进一步的研究需要更清晰地描述干预细节,实施挑战,上下文因素和组织结构,以提高全球卫生领域的问责制和研究公平性.
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