统一卫生系统 (SUS) 弹性方面的进展,挑战和前景
Marco Antonio Catussi Paschoalotto1, Eduardo Alves Lazzari1, Marcia C Castro2
1Centro de Investigação em Ciência Política, Escola de Economia, Gestão e Ciência Política, Universidade do Minho. R. da Universidade, 4710-057 Braga Portugal.marcocatussi@eeg.uminho.pt.
本研究探讨了巴西统一卫生系统 (UHS) 弹性方面的进展,挑战和前景. 调查结果突出了改善卫生系统应对大规模外部冲击 (如流行病) 的关键领域.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 弹性研究 弹性研究
背景情况:
- 巴西统一卫生系统 (UHS) 面临着重大的外部冲击.
- 了解UHS弹性对于公共卫生准备至关重要.
- 之前的研究还没有全面地解决UHS弹性维度.
研究的目的:
- 介绍和讨论巴西UHS弹性方面的进展,挑战和前景.
- 确定影响巴西卫生系统性的主要因素.
- 为公共卫生管理人员提供见解,以提高未来的性.
主要方法:
- 探索性和定性研究设计.
- 与学术专家和从业人员进行了30次深入采访.
- 收集数据的诱导性内容分析.
主要成果:
- 确定了32个进步,40个挑战和32个UHS弹性前景.
- 结果按治理,融资,资源,服务提供和上下文维度分类.
- 在政治危机和COVID-19大流行期间,UHS表现出了弹性.
结论:
- 该研究提供了UHS弹性的全面概述.
- 为公共卫生管理人员确定了实施,监测和评估的具体领域.
- 未来的战略应侧重于加强治理,融资,资源,服务提供和解决健康的社会决定因素.
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