不同国家的初级医疗保健改革和创新:范围审查
Solmaz Azimzadeh1, Saber Azami-Aghdash2, Jafar Sadegh Tabrizi3
1Health Policy, Department of Health Policy & Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Primary health care research & development
|April 23, 2024
概括
加强初级卫生保健 (PHC) 对全球健康改善至关重要. 本审查确定了全球PHC系统的创新和改革,以指导未来基于证据的战略.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 世界卫生组织 (WHO) 重申初级卫生保健 (PHC) 作为改善社区健康的基础战略的重要性.
- 全球卫生倡议越来越强调PHC,需要对现有系统进行重新评估.
- 领先国家的经验为改革和创新的PHC提供了宝贵的见解.
研究的目的:
- 在全球范围内对初级医疗保健 (PHC) 的创新和改革进行全面的范围审查.
- 为了确定实际的,基于证据的解决方案,以加强PHC系统.
- 通过加强PHC,为实现更大的健康成果的战略提供信息.
主要方法:
- 采用了一个范围审查方法,检查了2000年至2022年的文献.
- 在Scopus,Web of Science和PubMed数据库中使用相关关键字进行了搜索.
- 阿克西和奥马利框架指导了六步审查过程,报告的发现使用了世卫组织的六个构建块.
主要成果:
- 最初的搜索结果为39,426项研究,其中106项在查后被选择进行分析.
- 结果被分为九个主要领域:目标,管理/领导,融资和支付,服务提供,卫生工作人员,信息,结果,政策/考虑和限制.
- 该分析强调了PHC各个方面的各种创新和改革.
结论:
- 加强初级卫生保健 (PHC) 对于显著改善健康状况至关重要.
- 实现强大的医疗健康需要有实质性的政治意愿,跨国家和组织层面的协调努力,以及积极的社区参与.
- 基于证据的改革和创新对于优化医疗保健系统性能至关重要.
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