规划问题:对24个葡萄牙卫生计划的文档分析
Soraia Costa1,2, Inês Morais Vilaça1,3, Daniela Lima1,4
1EPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.
葡萄牙的健康规划显示了多样化的节目质量. 标准化结构可以改善公共卫生干预和资源使用,提高整体方案的有效性和可访问性.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 项目评估 项目评估
背景情况:
- 有效的健康规划对于公共卫生干预和资源分配至关重要.
- 葡萄牙卫生总局有着发展各种健康计划的历史.
- 这项研究审查了24个当前的健康计划,以评估它们的结构和内容.
研究的目的:
- 审查葡萄牙卫生总局目前的24个卫生计划.
- 评估这些健康计划的结构和内容的充分性.
- 确定在健康规划和计划开发方面需要改进的领域.
主要方法:
- 使用开发的程序评估矩阵进行文档分析.
- 由两个独立研究人员使用分数系统进行评估 (缺席,存在,不适用).
- 基于计划优先级和发布年份的合规性得分的定量分析.
主要成果:
- 优先计划的合规得分高于非优先计划.
- 合规性得分差异很大 (19%至100%),其中"更新的时间范围"是最不常见的项目 (21%).
- 最近的项目具有更高的合规得分 (β = 0.76),但可访问性不同.
结论:
- 葡萄牙卫生促进计划的结构,内容,及时性和可访问性存在显著的异质性.
- 一个标准化的结构可以提高节目质量,解释和传播.
- 解决可访问性问题对于有效的公共卫生规划也很重要.
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