有针对性的政府间财政转移能改善健康状况吗? 肯尼亚去中心化使用差异差异技术的证据
Bishnu Bahadur Thapa1, Momotazur Rahman2, Lawrence Were3
1Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, United States of America. bthapa@alumni.princeton.edu.
Health research policy and systems
|December 20, 2024
概括
向边缘化的肯尼亚县提供有针对性的财政转移,显著减少了腹发病率. 这项研究强调了财政转移在改善地方卫生结果和减少健康不平等方面的潜力.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 肯尼亚在2013年采用了分权政府制度,创建了47个县,具有不同的社会经济发展水平.
- 一种基于公式的方法将县分为边缘化和非边缘化群体,基于处于不利地位.
- 边缘化县通过有针对性的政府间财政转移获得了额外资金.
研究的目的:
- 评估针对性政府间财政转移对肯尼亚人体免疫缺陷病毒 (HIV) 和腹发病率的影响.
- 提供关于财政转移与在去中心化,中低收入国家背景下健康结果之间的联系的因果关系证据.
主要方法:
- 使用的差异差异 (DID) 技术.
- 利用固定效应模型来分析财政转移的影响.
- 评估了艾滋病毒和腹发病率的变化.
主要成果:
- 在接受有针对性的财政转移的县里,观察到腹发病率的统计显著减少.
- 没有发现对人类免疫缺陷病毒 (HIV) 发病率有重大影响.
- 该研究确定了财政转移与特定健康结果之间的因果关系.
结论:
- 有针对性的政府间财政转移可以成为改善地方卫生结果的有效工具.
- 这些转移有可能减少国家内部的健康不平等.
- 这些发现对新分散的中低收入国家尤为重要.
相关概念视频
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
Health Information Technology and Healthcare Information System
799
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
799
International Nursing Organizations II
962
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
962
Strategies for Assessing and Addressing Confounding
83
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
83
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K


