卫生系统治理中的社会责任:一个范围审查
Ahmad Nejatian1, Mohamad Arab1, Amirhossein Takian1,2,3
1Department Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iranian journal of public health
|May 2, 2024
概括
社会问责机制提高了卫生系统的治理和绩效. 战略性,特定背景的举措带来了积极的健康和社会成果,尽管存在实施挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生系统研究 卫生系统研究
背景情况:
- 社会问责对于有效的卫生系统治理至关重要,推动卫生系统改革和全民健康覆盖.
- 了解社会问责机制和工具对于政策制定者来设计特定环境的卫生政策至关重要.
研究的目的:
- 探索社会责任在卫生系统治理中的应用.
- 确定与医疗保健中的社会责任相关的结果,挑战和工具.
主要方法:
- 在PRISMA扩展范围审查后进行了范围审查.
- 通过对文献数据库和搜索引擎的广泛搜索,从2010年至2021年确定了相关的同行评审文章和灰色文献.
- 搜索术语包括"社会问责制"",公共问责制"和"卫生系统".
主要成果:
- 31个记录符合纳入标准,包括25篇同行评审文章和6个灰色文献来源.
- 母婴健康是社会问责干预的主要重点.
- 确定了各种社会责任工具,用于卫生设施和社区层面,并指出了好处和挑战.
结论:
- 社会问责制通过在不同卫生系统层面应用的多种工具和策略,显然改善了卫生系统的性能.
- 成功的社会问责倡议是战略性的,多干预性的和特定于环境的,导致改善卫生服务和社会成果.
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