累积遗产和危机决策在冲击爱尔兰卫生系统:混合方法分析分析
Steve Thomas1, Catherine O'Donoghue2, Arianna Almirall-Sanchez2
1Edward Kennedy Professor of Health Policy and Management, Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
连续的卫生系统冲击会产生累积的遗产,影响绩效和弹性. 了解这些长期影响对于有效的危机决策和卫生系统加强至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生系统的弹性 卫生系统的弹性
背景情况:
- 连续的冲击,如经济紧缩,流行病 (COVID-19),网络攻击和生活成本危机,给卫生系统留下了累积的遗产.
- 危机期间的决策对卫生系统的性能和弹性有长期影响.
- 了解冲击的遗产对于管理卫生系统反应至关重要.
研究的目的:
- 探索遗留的性质和冲击循环方法对卫生系统的弹性.
- 调查连续冲击对爱尔兰卫生系统的累积影响.
- 确定提高卫生系统弹性所需的学习经验.
主要方法:
- 使用了定量卫生系统绩效指标.
- 与自经济危机以来参与的卫生系统专家进行了定性采访.
- 根据PHSSR计划和PRESTO报告的情况研究分析.
主要成果:
- 确定了爱尔兰冲击的负面和积极的累积遗留效应.
- 观察到的负面影响包括更长的等待列表和员工降低动力,周转率和退出,导致更糟糕的日常护理.
- 指出了积极的结果,例如成功的改革,实现全民医疗保健,扩大社区医疗,降低接入费用,增加资金和民主化决策.
结论:
- 分析强调了对卫生系统的冲击的复杂性.
- 冲击可以同时增强卫生系统的优势和弱点.
- 从连续冲击中吸取的经验可以为建立更大的卫生系统弹性策略提供信息.
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