将信任置于卫生政策和系统的核心
Martin McKee1, May Ci van Schalkwyk1, Rachel Greenley1
1Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
International journal of health policy and management
|August 5, 2024
概括
建立和维护对卫生系统的信任对于有效的患者护理和公共安全至关重要,特别是在危机期间. 战略必须解决过去的不平等问题,并确保透明度,以恢复和维护信任.
科学领域:
- 卫生系统科学 卫生系统科学
- 公共卫生政策 公共卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 值得信赖的互动对有效的医疗保健服务和患者的结果至关重要.
- COVID-19大流行凸显了建立和维护对卫生当局和系统的信任的关键挑战.
- 信任是一种动态的,取决于环境的结构,很容易被侵蚀,很难重建.
研究的目的:
- 强调对卫生系统的信任的关键作用.
- 确定影响信任的因素及其对医疗保健的影响.
- 倡导优先考虑对卫生政策和实践的信任.
主要方法:
- 这项研究综合了有关对医疗保健的信任的现有文献.
- 它分析了信任对患者坚持,专业合作和系统弹性的影响.
- 它考察了公共卫生危机期间的信任挑战.
主要成果:
- 信任增强了患者的参与,治疗的坚持,并减少了医疗错误.
- 信任的侵蚀,特别是在边缘化社区中,对公众健康构成重大风险.
- 保持信任需要承认历史背景,社区参与和系统透明度.
结论:
- 卫生系统必须积极测量,培养和恢复信任.
- 政策制定应整合建立信任的战略,解决不平等问题,确保诚信.
- 积极的措施对于具有弹性和公平的卫生系统至关重要.
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