公平优先设定流程的10步方法:桑给巴尔的一个定性案例研究
Omar Mwalim1,2, Sanaa Said2,3, Subira Suleiman1,4
1Ministry of Health, Zanzibar, Tanzania.
Health systems and reform
|June 18, 2025
概括
本研究介绍了一种10步方法,以公平地确定卫生系统的优先级,确保对基本卫生服务的透明和包容性决策,特别是在资源有限的环境中.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 全球健康 全球健康
- 卫生经济学 卫生经济学
背景情况:
- 全球卫生系统面临着资源短缺的问题,需要系统和公平的方法来优先考虑基本的卫生服务.
- 对于建立透明和包容的优先设定流程,现有有限的实际指导.
研究的目的:
- 提出一个10步方法来设计基本医疗保健套餐的公平优先设定流程.
- 展示该方法在修订桑给巴尔基本医疗保健套餐 (2019-2022) 中的应用.
主要方法:
- 制定了10个步骤的结构化方法,强调利益相关者的参与,透明度和审议.
- 该方法包括路线图开发,管理,标准选择,干预识别,融资,证据生成,分析,优先级,实施以及M&E.
- 建立共识的研讨会被用来确定确定优先级的标准,包括成本效益,预算影响,疾病负担,公平性和政治可接受性.
主要成果:
- 十步方法为资源有限的环境提供了务实的,具体的指导.
- 在桑给巴尔确定优先级的关键标准包括成本效益,预算影响,疾病负担,公平性和政治/公众可接受性.
- 这个过程促进了包括性,信任和合法性在基本医疗保健包修订.
结论:
- 十步方法为决策者提供了一种有价值的工具,帮助他们设计和实施对基本卫生服务的公平和包容的优先设定流程.
- 这种方法有助于弥合全球框架和在不同卫生系统环境中的本地实施之间的差距.
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