参与医疗保健融资计划的利益相关者对喀麦隆经济评估的知识,态度和实践
Eric Tchouaket1, Katya Kruglova1, Isidore Sieleunou2
1Department of Nursing, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
PLOS global public health
|April 25, 2024
概括
喀麦隆需要更多的医疗保健融资计划 (HFP) 的经济评估 (EE). 对当地利益相关者进行EE培训的投资对于有效的项目开发和实施至关重要.
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
- 医疗保健的融资 医疗保健的融资
背景情况:
- 喀麦隆有许多医疗保健融资计划 (HFP),但它们的经济有效性和效率不明.
- 在实施之前,地方利益相关者参与经济评估 (EE) 对于将HFP定制为背景现实至关重要.
研究的目的:
- 评估喀麦隆医疗保健融资计划 (HFP) 的经济评估 (EE) 的需要.
- 确定影响利益相关者参与HFPsEEs的因素.
主要方法:
- 一项涉及面对面调查的横截面研究,涉及喀麦隆四个城市的106名监督人员.
- 描述性分析知识,态度和实践,关于高质量FPs的EE.
- 主要组件分析以确定影响EE参与的组织,个人和上下文因素.
主要成果:
- 虽然65%的人知道HFP,但只有28%的人参与其中. 在那些知道EE的人中 (57.5%),90%的人报告说他们HFP之前没有EE,而84%的人没有EE经验.
- 大多数参与者希望获得EE培训.
- 主要影响因素被分为"政策和治理"",规划和实施" (组织);"培训"",动机" (个人);和"资金"",政治经济"",公众期望" (上下文).
结论:
- 在喀麦隆的医疗保健系统中,有很大需要加强经济评估能力.
- 对EE培训的投资对于促进利益相关者的参与和改善HFP的开发,实施和评估至关重要.
- 加强当地对EEs的专业知识将导致喀麦隆更有效和高效的医疗保健融资.
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