公共-私人对话:在混合卫生系统中吸引非国家行为者的重要方法
Barbara O'Hanlon1, Aya Thabet2, Sneha Kanneganti1
1Global Financing Facility Secretariat, World Bank Group, Washington, DC, USA.
BMJ global health
|May 1, 2025
概括
低收入和中等收入国家的政府可以通过使用公私对话 (PPD) 来克服参与私营卫生部门的挑战. 这种方法解决了不信任和误解,促进了更好的合作,以改善健康结果.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 低收入和中等收入国家 (LMICs) 在系统地参与其私人卫生部门方面面临重大挑战.
- 对私营部门动机的不信任和对利激励的误解,植根于哲学信仰和经验,阻碍了公私卫生伙伴关系.
研究的目的:
- 检查公私对话 (PPD) 的实施,作为克服在LMICs内私营部门参与卫生方面的障碍的战略.
- 解决关于在卫生部门进行PPD的过程的研究缺口.
主要方法:
- 在健康的背景下定义公私对话 (PPD).
- 通过国家实例描述PPD的风险和好处.
- 提供策略,以最大限度地提高PPD的好处,同时降低风险.
主要成果:
- 卫生中的PPD过程与其他部门有相似之处,但存在额外的风险:"机构不协调".
- 这种独特的风险源于卫生部管理多样化和分散的私人卫生实体的能力有限.
结论:
- 公私对话 (PPD) 提供了一个可行的机制,以加强私营部门对LMICs健康的参与.
- 通过有针对性的策略解决机构不协调是成功在卫生部门实施PPD的关键.
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