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在大流行期间维持基本卫生服务:哥斯达黎加COVID-19应对措施的教训
Claudio A Mora-García1, Andy A Pearson2, Andrea M Prado2
1INCAE Business School, Alajuela, Costa Rica claudio.mora@incae.edu.
BMJ global health
|April 25, 2024
概括
哥斯达黎加社会保障基金 (CCSS) 在COVID-19大流行期间调整了其结构和流程,成功地为非COVID-19患者提供了基本的卫生服务. 这种性是建立在哥斯达黎加综合医疗保健系统的基础上.
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
- 流行病学 流行病学
背景情况:
- 全球范围内,COVID-19大流行扰乱了医疗保健的准入.
- 对于非COVID-19患者的基本卫生服务 (EHS) 处于危险之中.
- 卫生系统的反应往往优先考虑感染控制,而不是持续的护理.
研究的目的:
- 在COVID-19大流行期间,描述哥斯达黎加社会保障基金 (CCSS) 的结构和流程变化.
- 评估这些变化如何维持非COVID-19患者的EHS.
- 确定能够使CCSS作出反应的关键因素.
主要方法:
- 桌面审查当地文学.
- 与CCSS的关键线人进行了半结构化的定性访谈.
- 分析结构和流程适应及其结果.
主要成果:
- CCSS创建了一个专门的COVID-19中心,并聘请了额外的卫生工作者.
- 实施了综合网络优化和替代护理模式.
- 在非COVID-19患者中实现了持续的EHS.
结论:
- CCSS的综合卫生系统,单一付款人融资,数字记录和应急基金至关重要.
- 能够适应的结构和流程使得维持基本卫生服务成为可能.
- 哥斯达黎加的模型为医疗保健系统的流行病准备提供了见解.
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