巴西的基础设施与健康联系:范围审查
Flavio Pinheiro Martins1, Carol Vigurs2, Mariana Matera Veras3
1Engineering for International Development Centre, The Bartlett School of Sustainable Construction, UCL Faculty of the Built Environment, 1-19 Torrington Place, London, WC1E 7HB, UK. flavio.martins.22@ucl.ac.uk.
Global health research and policy
|September 2, 2025
概括
强大的基础设施,包括卫生和住房,对于巴西的健康结果至关重要. 综合规划对于卫生系统的发展至关重要,
科学领域:
- 公共卫生
- 城市规划
- 卫生系统研究
背景情况:
- 卫生系统的发展严重依赖于基础设施,特别是在地区和社会经济差异较大的国家.
- 巴西的统一卫生系统 (SUS) 提供了一个有价值的案例研究,
- 通过环境条件和弱势群体获得医疗保健, 本次审查探讨了基础设施系统 (卫生,交通,教育,住房) 如何影响巴西人口健康.
研究的目的:
- 研究不同基础设施系统对巴西人口健康的影响.
- 了解基础设施如何影响健康结果,重点关注环境条件和医疗保健服务.
- 开发一个框架来分析基础设施与健康之间的复杂关系.
主要方法:
- 根据PRISMA-ScR指南进行了系统范围审查,搜索了Scopus,科学网络和PubMed (2013-2024).
- 搜索术语包括基础设施系统,健康结果和人口描述, 特别是巴西.
- 经过严格的选和质量评估,68项研究被纳入,并使用基础设施框架和主题分析来开发基础设施与健康联系框架.
主要成果:
- 确定了基础设施影响的三个相互关联的维度:支持健康和福祉,服务获取和提供以及社区参与.
- 卫生,交通,教育和住房系统显著影响健康结果,对服务不足的人群来说尤其具有挑战性.
- 教育设施作为卫生中心和社区参与中心发挥双重作用,而医疗保健工作人员计划则作为临时解决方案. 基础设施投资与全民健康覆盖 (UHC) 目标之间存在差异.
结论:
- 开发的基础设施与健康联系框架强调了综合规划的必要性,以优化基础设施在塑造健康成果中的作用.
- 目前的研究主要集中在初级保健,但巴西的流行病学转型需要更广泛的卫生系统考虑.
- 重新构思基础设施系统规划作为卫生系统发展的组成部分对于促进巴西人口健康至关重要.
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