实现全民健康覆盖;在伊朗实施"支持贫困地区保留医生"计划
Leila Pouraghasi1, Saeed Manavi2, Faeze Foruzanfar1
1School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
BMJ global health
|August 31, 2024
概括
伊朗 伊朗 伊朗 伊朗
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 医疗保健工作者分布不均,集中在城市中心,导致农村和服务不足地区的服务提供挑战.
- 吸引和留住贫困地区的医生是全球卫生系统面临的一个重大挑战.
- 世界卫生组织强调积极的医疗保健工作者在改善贫困地区获得基本卫生服务方面的作用.
研究的目的:
- 评估伊朗的全民医疗保险计划,以在服务不足的地区保留医生.
- 展示2014年至2016年"支持贫困地区医生留学"计划的成果.
- 评估该计划对欠发达地区获得优质医疗保健和自付支付的影响.
主要方法:
- 根据社会经济指标对城市进行排名,以确定贫困地区.
- 在30个省份的302个地区分为四个不同的组.
- 实施量身定制的激励计划,将医生的固定和基于绩效的付款结合起来.
主要成果:
- 贫困地区的医生数量增加了三倍.
- 建立24/7专业医疗服务,改善当地医疗保健的获取.
- 显著减少患者转移到其他城市的情况,并消除非法支付.
结论:
- 伊朗的医生保留计划成功地改善了服务不足地区的医疗保健获取和质量.
- 基于激励的方法有效地解决了贫困地区医生短缺的问题.
- 该计划对减轻欠发达地区患者的财务负担产生了积极影响.
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