在哥伦比亚卫生系统中,应该有哪些公共资金? 一个混合方法研究公民的感知
Claudia Marcela Vélez1,2, Diana Patricia Díaz-Hernández3, Pamela Velázquez-Salazar3
1Facultad de Medicina, Universidad de Antioquia, Medellin, Antioquia, Colombia velezcm@mcmaster.ca.
哥伦比亚公民在决定为医疗技术提供公共资金时考虑各种因素,包括个人情况和系统效率. 他们的观点超越了技术标准,将社会价值观纳入政策决策中.
科学领域:
- 卫生政策研究 卫生政策研究
- 卫生技术评估 卫生技术评估
- 公民参与医疗保健
背景情况:
- 越来越多的公众对影响卫生政策的兴趣.
- 政府越来越愿意让公民参与决策.
- 优先考虑公共资金用于医疗技术需要仔细考虑公共价值观.
研究的目的:
- 识别和理解公民对哥伦比亚卫生技术公共资金的看法.
主要方法:
- 连续探索性混合方法研究.
- 定性嵌入案例研究 (46次采访) 和Q方法研究 (30名参与者,45份陈述).
- 面试的内容分析;主要组件分析和Q方法的varimax轮换.
主要成果:
- 公民对公共资金有两种看法:全覆盖与基于患者,疾病,技术和系统效率的有条件覆盖.
- 通过Q方法识别了五种不同的观点模式.
- 公民决策将技术标准与个人价值观和社会期望相结合.
结论:
- 哥伦比亚公民在医疗技术融资决策方面采用多方面的方法.
- 公众的意见至关重要,平衡技术考虑与受影响个人的价值观.
- 公民观点通过包括生活经验和社会价值观来丰富卫生政策.
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