在16个国家的卫生系统绩效人口评估
Margaret E Kruk1, Shalom Sabwa1, Todd P Lewis1
1Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, United States of America (USA).
Bulletin of the World Health Organization
|June 27, 2024
概括
人民之声调查显示,全球卫生检查和用户体验存在重大差距. 人口观点对于评估卫生系统绩效和识别不平等至关重要.
科学领域:
- 全球健康 全球健康
- 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:
- 评估卫生系统的表现对于实现全民健康覆盖来说至关重要.
- 传统的指标往往缺乏人口对医疗保健经验的看法.
- 人民声音调查 (PVS) 提供了一个国际上可比的工具来捕捉公众论.
研究的目的:
- 证明PVS在评估不同收入背景的卫生系统绩效方面的实用性.
- 将人口视角纳入卫生系统评估中.
- 突出医疗保健获取,有效性和用户体验方面的差异.
主要方法:
- 调查了16个低,中,高收入国家的代表性人口样本 (2022-2023).
- 对医疗保健利用,经验和信心的分析数据与世卫组织的全民医疗覆盖领域保持一致.
- 检查了与人均医疗支出和国内基于收入的不平等的相关性.
主要成果:
- 在护理效率方面发现了重大差距,包括健康查和初级保健利用率.
- 只有三分之一的人报告了非常好的用户体验;访问和可负担性问题仍然存在.
- 私营医疗系统的评价高于公共系统;参与决策的可能性有限.
- 在许多健康指标中,有利于富人的不平等现象普遍存在.
结论:
- 像PVS这样的全民调查提供了对卫生系统运作的必要现实洞察力.
- PVS数据补充了传统的绩效指标,并揭示了需要改进的关键领域.
- 建议定期将PVS纳入卫生系统评估,以确保问责制和公平.
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