多部门干预和卫生系统绩效:系统性审查
I Nyoman Sutarsa1, Lachlan Campbell1, I Made Dwi Ariawan2
1School of Medicine and Psychology, College of Health and Medicine, Australian National University, 54 Mills Road, Acton 2601, Australia.
Bulletin of the World Health Organization
|June 27, 2024
概括
多部门卫生干预措施通过提高服务提供,准备和负担能力来提高卫生系统的性能. 这些相互关联的效应有效地解决了复杂的现代医疗保健挑战.
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
- 卫生政策 卫生政策
背景情况:
- 多部门干预越来越多地被认为具有解决复杂健康问题的潜力.
- 然而,它们对整体卫生系统绩效的具体影响需要进行系统的评估.
研究的目的:
- 系统地审查多部门卫生干预措施对卫生系统绩效的影响.
- 确定这些干预措施如何影响卫生系统的各个方面.
主要方法:
- 按照PRISMA协议进行了系统审查.
- 在主要数据库 (PubMed,Scopus,Web of Science,CINAHL,Cochrane) 进行了搜索,截至2024年2月.
- 在62项选定的研究中进行了资格,质量评估和数据提取.
主要成果:
- 大多数研究都集中在特定的健康结果或社会决定因素上,与整体卫生系统绩效的明确联系有限.
- 很少有出版物涉及过程指标或多部门干预的可持续性.
- 干预措施通常针对健康公平性和结果,提出了机制,但缺乏现实的评估.
结论:
- 多部门干预通过提高效率,准备性,可接受性和可负担性,积极影响卫生系统绩效.
- 相互关联的效应突出了它们在管理现代医疗复杂性的作用.
相关概念视频
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Health Information Technology and Healthcare Information System
821
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
821


