马里中部创新部门社区医疗保险的可接受性:一项混合方法研究
Pauline Boivin1, Andrainolo Ravalihasy2, Dansiné Diarra3
1Miseli, Social Sciences Research Association, Bamako, Mali.
The International journal of health planning and management
|October 5, 2024
概括
马里的社区医疗保险在民选代表中表现出高度的接受度,尽管面临挑战. 专业化是可持续性和在RAMU计划下实现全民健康覆盖的关键.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 马里的全民医疗保险计划 (RAMU) 要求创新的社区医疗保险 (CBHI),以实现全民医疗覆盖.
- 在马里中部 (2017-2021) 实施了一项实验性的CBHI,将风险共享在更大规模上进行专业化 (圈子而不是市政).
研究的目的:
- 评估马里莫普蒂地区民选代表对创新的,专业化的CBHI模式的接受度.
- 了解这种CBHI创新的感知有效性,支持和挑战.
主要方法:
- 一项混合方法研究,使用了118个问卷和43个质量访谈,对2021年4月和10月的CBHI民选代表进行了采访.
- 数据分析采用基于Sekhon等人的因子分析. " (2017) 七个维度的可接受性.
主要成果:
- 超过一半 (58%) 的民选代表报告说,创新的CBHI的接受度高于平均水平.
- 代表们感到马里互惠技术联盟 (TUM) 的支持,并认为该系统是有效的,尽管不安全和志愿者身份的限制.
- 新的CBHI在内容,财务和地理上为人口提供了显著的优势.
结论:
- 专业化和社区集会对于创新的表现至关重要.
- 选民代表对可持续性表示关注,强调需要国家和合作伙伴的支持.
- 在RAMU框架内,TUM对于持续支持和委托管理至关重要.
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