主要国际发展组织如何实施初级卫生保健:战略文件的主题内容分析
Luke N Allen1, Erica Barbazza2, Tova Tampe2
1Global Primary Care & Future Health Systems, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
国际组织对初级卫生保健 (PHC) 的理解有所不同. 这种缺乏一致的解释影响了医疗卫生和健康保障的实施,强调需要更好地与其最初的愿景保持一致.
科学领域:
- 全球健康
- 卫生政策
- 国际发展
背景情况:
- 基本卫生保健 (PHC) 被广泛认为对全球健康公平至关重要.
- 国际组织对医疗保健原则的不一致实施阻碍了有效实施.
- 了解医疗保健的不同解释对于战略调整至关重要.
研究的目的:
- 分析主要国际发展组织如何在战略文件中实施初级卫生保健.
- 确定这些组织对医疗保健的概念化和解释的差异.
- 强调需要采取统一的医疗保健实施方法.
主要方法:
- 对30个主要国际发展组织的企业战略文件进行主题内容分析.
- 检查这些文件中对PHC的明确提及和概念化.
- 确定新出现的PHC解释.
主要成果:
- 尽管普遍存在共识,但只有不到一半的审查文件明确提到PHC.
- 医疗保健的概念是不同的:作为服务提供平台,护理水平,干预捆绑或全社会方法.
- 三种主要解释出现了:全社会,强大/高质量的初级保健和选择性/基本的初级保健.
- 基本上没有像社区赋权和多部门行动这样的重点卫生保健组成部分.
结论:
- 在国际组织如何解释和运行医疗保健方面存在重大分歧.
- 这种错误对全球有效和公平的医疗保健实施构成挑战.
- 迫切需要改善组织之间的协调,以支持与其基础愿景相一致的PHC方法.
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