在COVID-19应对计划中是否考虑了优先级设置? 一个全球比较分析
Claudia-Marcela Vélez1, Lydia Kapiriri2, Susan Goold3
1Department of Health, Aging & Society, McMaster University, Hamilton, Ontario, Canada, 1280 Main Street West, Kenneth Taylor Hall Room 226, Postal code L8S 4M4 and Faculty of Medicine, University of Antioquia, Cra 51d #62-29, Medellín, Antioquia, Colombia.
由于COVID-19的流行计划往往缺乏明确的优先考虑过程和公平考虑. 政策制定者应该整合系统的优先设定,以改善未来的准备和应对.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 全球健康 全球健康
背景情况:
- 由于COVID-19的流行,全球资源分配战略变得必不可少.
- 疫情准备计划指导医疗保健协调稀缺资源,如呼吸机和治疗药物.
研究的目的:
- 为了比较在全球COVID-19流行病应对计划中有效优先设定 (PS) 参数的纳入.
- 分析卫生系统类型,政治和经济背景如何影响PS参数的纳入.
主要方法:
- 利用卡普里里和马丁的框架来有效确定优先级.
- 在世卫组织各地区对86个国家的COVID-19流行病计划进行了定量描述性分析.
- 样本中的国家代表了不同收入水平 (HIC,上中,下中,LIC) 和世卫组织地区.
主要成果:
- 虽然政治意愿,利益相关者参与和科学证据是常见的 (>80%),但明确的PS过程很少 (7%).
- 对于PS的明确标准在36.5%的计划中,在65%的宣传策略中,在20%的问责机制中.
- 公共价值观 (15%) 和合规增强 (5%) 几乎没有被解决,没有明确的区域或收入水平的模式.
结论:
- COVID-19计划显示有限的明确优先级流程和对公平的关注.
- 调查结果表明,需要加强未来的流行病准备和应对计划.
- 系统的优先级设定应纳入针对当前挑战的常规政策制定.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
相关概念视频
Primary Healthcare Services
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...
International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Methods Of Healthcare Delivery System
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...
Principles of Disease Surveillance
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Planning Nursing Care I
