活动文化,培养抵抗力
Katherine Kenny1, Alex Broom2, Michelle Peterie1
1Sydney Centre for Healthy Societies, The School of Social and Political Sciences, Faculty of Arts and Social Sciences, The University of Sydney, Sydney, NSW, Australia.
Qualitative health research
|October 23, 2024
概括
医疗保健融资模式可能会恶化抗菌素耐药性 (AMR). 基于活动的资金激励了更多的医疗活动,无意中受益于抗药性率的上升,并阻碍了抑制AMR的努力.
科学领域:
- 卫生经济学 卫生经济学
- 传染病管理 传染病管理
- 医疗保健政策 医疗保健政策
背景情况:
- 抗菌素耐药性 (AMR) 是一个重大的全球健康威胁.
- 目前对抗药物耐药性的方法往往忽视了经济驱动因素和医疗保健融资结构.
- 基于活动的资金 (ABF) 是一种常见的医疗补偿模式.
研究的目的:
- 调查医疗保健融资模式,特别是ABF如何影响医院内AMR的感知和优先级.
- 分析ABF中嵌入的经济原则及其对AMR制策略的影响.
主要方法:
- 涉及半结构面试的定性研究.
- 数据来自澳大利亚两个州的36家医院高管在各种临床环境中收集.
- 分析重点是ABF如何运营价值和影响AMR管理.
主要成果:
- 该ABF范式可能与有效的AMR制努力相冲突.
- ABF可能会激励医疗保健活动的增加,在短期内无意中受益于抗药性率的上升.
- 该模型未能认识到减少活动的经济价值,可能会加剧AMR.
结论:
- 像ABF这样的医疗保健融资模式可以无意中破坏打击AMR的努力.
- 修改资金机制至关重要,以使经济激励与AMR减少目标保持一致.
- 为了有效制定政策,需要更好地了解抗药性耐药性的经济基础.
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