我们如何资助澳大利亚的公共卫生? 我们该怎么办?
Alan Shiell1, Kate Garvey2, Shane Kavanagh3
1School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Australian and New Zealand journal of public health
|September 21, 2024
概括
澳大利亚 澳大利亚 澳大利亚
科学领域:
- 公共卫生融资分析 公共卫生融资分析
- 卫生系统绩效评估卫生系统绩效评估
- 澳大利亚卫生经济学
背景情况:
- 澳大利亚的公共卫生资金是复杂的,州和地区的差异很大.
- 资金机制多样化,往往缺乏透明度,阻碍绩效评估.
研究的目的:
- 绘制澳大利亚公共卫生资金格局的地图.
- 评估融资方法的调整是否可以提高系统性能.
主要方法:
- 对公开可用的文件进行全面审查.
- 采访与公共卫生专家的关键信息人员.
主要成果:
- 澳大利亚在2019-20年为公共卫生分配了人均140美元 (1.8%的总卫生支出).
- 资金分散到各州和地区,允许量身定制的方法,但掩盖了整体可见性.
- 显著的信息缺口阻止了对人口健康益处的全面评估.
结论:
- 澳大利亚的分权融资模式,使用对各州的积分赠款,缓解了一些国际挑战.
- 提高透明度对于评估公共卫生系统绩效和潜在改进至关重要.
- 建议加强可见性和问责制,例如"卫星账户".
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