在单党制国家中,去中心化和免疫计划:老人民民主共和国的案例
Phonevilay Viphonephom1, Sengchanh Kounnavong2, Daniel Reinharz3
1Department of Social and Preventive Medicine, Laval University, Quebec City, QC, Canada. phonevilay.viphonephom.1@ulaval.ca.
Tropical medicine and health
|May 7, 2024
概括
劳斯人民共和国医疗保健系统的去中心化显示出一个集中的结构,有一些免疫程序的去中心化. 教育和社会网络的未来变化可能会改变政府对公共卫生计划的责任.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 免疫接种计划 免疫接种计划
背景情况:
- 与东南亚邻国相比,老人民共和国在儿童免疫覆盖方面面临挑战.
- 医疗保健服务组织,特别是去中心化,对于免疫计划的成功至关重要,但在老人民共和国仍未得到充分研究.
研究的目的:
- 在老国家免疫计划中调查医疗保健系统的去中心化.
- 分析影响老人民共和国医疗保健分散的结构和解释因素.
主要方法:
- 进行了老国家免疫计划的案例研究.
- 一个新制度理论框架被用来检查医疗保健系统的分散.
- 通过22个半结构面试和四个省份的文档分析收集数据.
主要成果:
- 老的医疗保健系统表现出去中心化的去中心化,其结构主要集中,但针对免疫计划去中心化的具体措施.
- 目前免疫服务的集中结构与共享的主导解释方案保持一致.
- 快速的社会经济和技术变化可能会破坏结构和解释方案之间的一致性.
结论:
- 越来越多的高等教育和社会网络利用在老人民民主共和国提供了重塑公共卫生倡议的政府责任的机会.
- 这些不断变化的社会因素可能会影响像国家免疫计划这样的计划的未来去中心化.
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