跨程序效率:系统大于其程序的总和
Susan P Sparkes1, Alexandra J Earle1, Joseph Kutzin2
1Health Financing and Economics, World Health Organization, Geneva, Switzerland.
Health systems and reform
|December 12, 2024
概括
卫生计划经常重叠,阻碍了效率和全民健康覆盖 (UHC). 跨方案效率分析 (CPEA) 显示,为了更好地提供卫生服务和调整资源,需要全系统改进.
科学领域:
- 卫生系统研究 卫生系统研究
- 公共卫生政策 公共卫生政策
- 医疗服务管理 医疗服务管理
背景情况:
- 卫生计划对于特定服务至关重要,但不能满足整体健康需求.
- 停滞不前的全民健康覆盖 (UHC) 指数引发了对计划效率和可持续性的担忧.
- 现有的健康计划经常表现出重复和错位,影响系统的整体性能.
研究的目的:
- 通过跨方案效率分析 (CPEA) 评估卫生计划,使用全系统的视角.
- 识别卫生系统内重复和错位的领域.
- 为改善卫生系统效率和UHC的政策改革提供信息.
主要方法:
- 利用世界卫生组织的跨程序效率分析 (CPEA) 方法.
- 分析了基于卫生系统功能和全系统对齐的程序.
- 在6个国家 (不丹,加纳,肯尼亚,南非,斯里兰卡,坦桑尼亚) 从2017年至2021年进行了CPEA.
主要成果:
- 确定了信息系统,医疗工作人员和供应链的各个计划中的重大重复和错位.
- 发现融资和治理结构往往导致资源生成 (输入) 的低效率.
- 证明这些低效率直接影响到向个人提供医疗服务.
结论:
- 整个卫生系统的方法对于提高效率和实现UHC目标至关重要.
- 解决方案输入中的重复和错位问题对于改善医疗服务提供至关重要.
- 跨方案效率分析为识别和纠正卫生计划中的系统性低效提供了有价值的框架.
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