提高低收入和中等收入国家的卫生系统成果的透明度干预措施:叙述性的系统性审查
Masoomeh Gholami1, Amirhossein Takian2,3,4, Mohammad Javad Kabir5
1Department of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
BMJ open
|June 6, 2024
概括
低收入和中等收入国家的透明度干预措施.
科学领域:
- 卫生系统研究 卫生系统研究
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
背景情况:
- 透明度对于有效的卫生系统至关重要.
- 低收入和中等收入国家在实施透明度方面面临着独特的挑战.
- 在这些环境中,腐败和假药是很重要的问题.
研究的目的:
- 确定低收入和中等收入国家卫生系统的透明度干预措施.
- 评估这些干预措施的结果.
主要方法:
- 在主要医疗数据库 (PubMed,Embase,Scopus) 的系统文献搜索.
- 包括灰色文学和组织网站.
- 对24项选定的干预研究 (1980-2021) 的叙述分析.
主要成果:
- 干预措施主要解决腐败和假药等问题.
- 举措显示卫生系统和指标的短期改善.
- 干预类型,方法和结果存在变化.
结论:
- 透明度倡议可以带来短期的好处,但长期的可持续性是一个问题.
- 为了实现根本性的变化,需要强有力的,明确的和可衡量的干预措施.
- 解决腐败问题需要卫生系统的可持续战略.
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