为什么公共卫生问题 (不) 得到优先考虑? 制定印度国家烧伤计划的议程
Vikash Ranjan Keshri1,2, Jagnoor Jagnoor1,2, Margie Peden3,4,5
1The George Institute for Global Health, India.
Health policy and planning
|March 21, 2024
概括
在印度,优先考虑烧伤护理面临着由于有限的数据和集中决策的挑战. 建议采用分散的方法,以更好地设计和实施国家卫生计划.
科学领域:
- 卫生政策分析 卫生政策分析
- 制定公共卫生议程,制定公共卫生议程.
- 实施医疗保健计划的实施.
背景情况:
- 研究人员对健康问题的优先考虑越来越感兴趣.
- 了解议程设置对于有效的国家卫生计划至关重要.
- 印度国家燃烧计划作为政策分析的案例研究.
研究的目的:
- 分析印度国家燃烧计划的议程制定过程.
- 了解议程设置如何影响计划的设计,实施和绩效.
- 识别影响重视重大负担但注意力有限的健康问题的优先级的因素.
主要方法:
- 对政策优先级和问题框架的回顾性分析.
- 使用READ方法 (准备材料,提取数据,分析数据和蒸发现) 的文档审查.
- 使用定性主题分析分析的关键信息人采访与利益相关者.
主要成果:
- 在印度,对烧伤护理政策的优先考虑受到问题的规模和干预证据有限的数据的阻碍.
- 对烧伤的政策响应是分散的,在2010/2014年之前,针对故意的伤害更多的是医疗保健需求.
- 一些国家参与者过度集中制定议程,限制了计划的设计和实施.
结论:
- 有效的健康问题优先级要求分析行为者对问题框架的影响,并考虑问题的特殊性.
- 对于具有重大负担但优先级有限的问题,多个交叉框架是必要的.
- 从一开始就建议印度的国家卫生计划采用分散的议程设置方法.
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