评估印度综合性初级医疗保健 (CPHC) 的成本,工作模式和效率 (CORE) (CPHC CORE研究):一个自上而下的微成本研究协议
Prakash Singh1, Ajay Trakroo2, Shweta Sharda1
1Department of Community Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
BMJ open
|March 5, 2025
概括
本研究评估了印度综合初级医疗保健 (CPHC) 的成本,工作模式和效率. 调查结果将为普遍健康覆盖 (UHC) 的资源分配和规划提供信息.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 初级医疗保健对于实现全民健康覆盖 (UHC) 至关重要.
- 了解印度综合性初级医疗保健 (CPHC) 的成本和效率对于有效的医疗保健策略至关重要.
- 这项研究解决了评估印度CPHC交付的需要.
研究的目的:
- 评估印度初级医疗保健设施提供的服务的经济成本.
- 分析参与CPHC的医疗保健工作人员的工作模式和时间分配.
- 评估印度综合性初级医疗保健服务的技术效率.
主要方法:
- 使用自上而下的微成本方法来估计经济成本.
- 多阶段分层随机抽样选择了印度选定的各州的48个子卫生中心 (SHC) 和24个初级卫生中心 (PHC).
- 时间和运动研究,采访和数据包裹分析被用来收集和分析资源,活动和效率的数据.
主要成果:
- 该研究将推导出CPHC服务的年度成本,个别服务的单位成本以及医疗保健工作人员 (社区卫生官员和助理护士助产士) 所花费的时间.
- 在提供初级医疗保健服务的技术效率水平将使用数据包裹分析进行评估.
- 成本估计将整合到印度国家卫生系统成本数据库中.
结论:
- 对成本和效率的生成证据将支持对印度初级医疗保健服务的更好的规划和资源配置.
- 调查结果将为旨在加强全面初级医疗保健的政策决策提供信息,以实现全民健康覆盖.
- 该研究为未来研究印度初级医疗保健的成本效益和效益发生率提供了有价值的数据.
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