一项混合方法研究,检查初级医疗保健融资转型对肯尼亚设施运行和服务提供的影响:研究协议
Rose Nabi Deborah Karimi Muthuri1, Jacinta Nzinga1, Benjamin Tsofa1
1Health Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya.
Wellcome open research
|September 16, 2024
概括
肯尼亚 肯尼亚 肯尼亚 肯尼亚
科学领域:
- 卫生经济学和卫生政策
- 主要医疗保健的融资.
- 提供健康服务的医疗服务.
背景情况:
- 肯尼亚已经进行了重大的卫生融资改革,包括转移捐助者资金和取消用于初级医疗保健 (PHC) 的专项赠款.
- 这些变化影响了PHC设施的运营能力和服务提供.
- 了解这些转变对于可持续的医疗保健系统至关重要.
研究的目的:
- 评估最近卫生融资变化对肯尼亚卫生保健中心设施运作和服务提供的影响.
- 评估这些融资转移在利益相关者之间的实施经验.
- 在资源有限的环境中提供PHC融资可持续性的证据.
主要方法:
- 连续混合方法设计,包括文档审查,中断时间序列分析和深入采访.
- 文件审查以追踪政策演变.
- 使用肯尼亚卫生信息系统 (KHIS) 数据对所有47个县进行中断时间序列分析,以评估公共卫生保健设施 (2和3级) 的服务利用趋势.
- 与国家,县和设施层面的利益相关者进行深入访谈,以捕捉对卫生融资变化的经验和看法.
主要成果:
- 通过文档审查分析政策演变.
- 通过中断时间序列分析量化融资变化对医疗服务利用率的影响.
- 对利益相关者的经验和对卫生融资改革的看法进行定性洞察.
结论:
- 该研究将产生关于卫生融资改革和捐助者过渡对PHC的影响的证据.
- 结果将为政策和实践提供信息,以加强低收入和中等收入国家的PHC可持续性.
- 有助于了解卫生系统面临金融政策转变的弹性.
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