预算流程和执行:关于秘鲁卫生系统表现不佳的案例研究,2000-2021年
Rolf Erik Hönger1, Doreen Montag2
1Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom. rolf.hoenger@gmail.com.
秘鲁 秘鲁 秘鲁 秘鲁 秘鲁
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 卫生系统的表现 卫生系统的表现
背景情况:
- 新兴经济体面临着由于人口老龄化和疾病模式的变化而导致的卫生系统融资挑战.
- 秘鲁的经济增长凸显了分析其卫生系统预算和执行影响的必要性.
研究的目的:
- 调查政策和流程如何导致秘鲁卫生系统的绩效差距.
- 确定秘鲁卫生系统表现不佳的根本原因.
主要方法:
- 案例研究方法使用17个半结构面试与国家和地区的卫生行为者.
- 通过有目的,方便和雪球采样进行参与者选择,直到数据和.
- 对面试答复进行主题分析,以确定相互关联的影响.
主要成果:
- 政治不稳定阻碍了秘鲁的可持续健康政策发展.
- 财政限制使公共卫生支出限制在GDP的3%,影响了资源分配.
- 预算和执行周期反映了长期的投资不足,导致专业人员,设备和数据的短缺,从而影响了获得医疗保健的机会,并增加了自付的医疗费用.
结论:
- 卫生部 (MOH) 必须证明健康投资的经济理由,以确保优先考虑.
- 额外的健康投资需要在财政限制内获得新的税收收入.
- 必须解决预算法的严格性,必须制定与卫生优先事项一致的前性技术预算.
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