从计划设计和实施的角度来看,什么影响了低收入和中低收入国家的医院融资干预措施的表现? 一个范围审查审查
Wu Zeng1, Mara Boiangiu1, Natalie Trachsel1
1Department of Global Health, Georgetown University, 3700 Reservoir Rd NW, Washington, DC 20007, United States.
Health policy and planning
|September 29, 2025
概括
在低收入和中低收入国家 (LLMICs) 实施医院融资干预措施需要关注治理,参与,设计,资源和监测. 将这些因素与当地环境结合在一起,对于成功至关重要.
科学领域:
- 卫生系统研究 卫生系统研究
- 卫生经济学 卫生经济学
- 全球健康 全球健康
背景情况:
- 医院对卫生系统至关重要,消耗大量资源,影响人口健康.
- 关于在低收入和中低收入国家 (LLMICs) 促进医院融资干预的共同因素的证据有限.
研究的目的:
- 进行对LLMIC医院融资干预措施的范围审查.
- 确定影响这些干预措施成功的共同设计和实施因素.
主要方法:
- 使用了一个范围审查方法.
- 搜索使用了结合策略和关键告密者咨询.
- 包括35篇文章,涵盖六类医院融资干预措施.
主要成果:
- 影响干预结果的因素众多,具体取决于具体情况.
- 五个相互关联的因素成为最有影响的因素:治理和问责制,参与过程,适当的干预设计,充足的资源和能力,以及监测和评估.
- 这些因素在六类医院融资干预中至关重要.
结论:
- 将治理,参与,设计,资源和监测与国家背景保持一致,对于有前途的医院融资干预措施至关重要.
- 需要更多使用全面理论框架的实施研究,以产生关于LLMICs特定干预类型的具体证据.
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