管理实践与卫生设施绩效之间的关系:为关键人群提供艾滋病毒服务的低资源社区设施的证据
Andrea Salas-Ortiz1, Marjorie Opuni2, José Luis Figueroa3
1Centre for Health Economics, University of York, York, United Kingdom.
PloS one
|August 28, 2025
概括
有效的管理实践显著改善了社区组织 (CBO) 提供的艾滋病毒服务. 在财务管理,绩效监测和目标设定方面,有针对性的能力建设对于提高成本效益和服务质量至关重要.
科学领域:
- 公共卫生
- 卫生管理
- 组织研究
背景情况:
- 在资源有限的环境中,管理实践对于绩效至关重要,但社区组织 (CBO) 的经验证据很少.
- 公共卫生组织在提供基本卫生服务方面发挥着至关重要的作用,特别是对艾滋病毒影响的关键人群.
研究的目的:
- 研究提供HIV服务的CBOs管理领域与组织绩效之间的关联.
- 确定可提高成本效益,服务量和宣传质量的具体管理实践.
主要方法:
- 从肯尼亚和马拉维的45个CBOs收集了67个管理实践的数据,分为六个领域.
- 使用成本效益,服务量和外展质量指标来评估组织绩效.
- 使用统计模型 (OLS,定量回归,沙普利分解) 来分析管理与绩效之间的关系.
主要成果:
- 改善的管理与抗逆转录病毒治疗 (ART),艾滋病毒检测服务 (HTS) 和性传播感染 (STI) 查的单位成本降低有关.
- 更高的管理得分与HTS数量增加和更好的外展服务质量相关.
- 财务管理,绩效监测和目标设定成为影响绩效的关键领域.
结论:
- 针对特定管理领域的有针对性的能力建设,特别是财务管理,绩效监测和目标设定,可以显著改善CBOs的HIV服务提供.
- 加强管理实践对于优化在资源有限的环境中为关键人群服务的CBOs的业绩至关重要.
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