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在巴西 (2013-2022) 确定与第一岁儿童接种疫苗覆盖率相关的决定因素 (2013-2022)
Lizandro Lui1, Weeberb J Réquia1, Fernanda Dos Santos2
1School of Public Policy and Government, Fundação Getúlio Vargas, Brasília, Brazil.
当地政府资源影响疫苗接种. 财政较强的市政当局实现了更高的疫苗接种覆盖率,而依赖外部资金和增加的卫生专业人员与较低的率相关.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 接种疫苗是一个全球公共卫生挑战.
- 关于影响疫苗接种范围的地方政府特征的研究有限.
- 了解这些因素对于改善疫苗接种至关重要.
研究的目的:
- 评估巴西 (2013-2022) 的第一年疫苗接种覆盖率的预测因素.
- 检查地方政府资源,基础设施和人力资源投资与疫苗接种覆盖率之间的关联.
主要方法:
- 使用了双项通用线性混合模型.
- 分析的重点是巴西的市政当局.
- 数据涵盖了2013年至2022年的时间.
主要成果:
- 财政能力较强的市政当局的疫苗接种覆盖率更高.
- 增加对联邦和州资源的依赖与较低的疫苗接种率有关.
- 对卫生专业人员的投资与疫苗接种覆盖率有负相关性.
结论:
- 当地政府的财政能力是有效的疫苗接种的关键预测因素.
- 分散的卫生系统需要量身定制的战略来优化疫苗接种覆盖率.
- 需要进一步的研究来了解地方治理与疫苗接种结果之间的复杂关系.
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