[初级医疗保健的创新策略:Previne巴西计划指标的比较研究]
Joyce Minami1, Mara Lisiane de Moraes Dos Santos1, Dinaci Ranzi2
1Programa de Pós-Graduação Stricto Sensu em Saúde da Família. Universidade Federal de Mato Grosso do Sul, Cidade Universitária, Av. Costa e Silva - Pioneiros, 79070-900. Mato Grosso do Sul MS Brasil. joyceminami@gmail.com.
预防巴西计划 (PBP) 看到创新实验室改善了家庭卫生单位 (FHU) 的表现和财务配置. 所有单位都需要进一步改进,以优化流程和护理管理.
科学领域:
- 公共卫生 公共卫生
- 健康管理健康管理
- 医疗保健的融资 医疗保健的融资
背景情况:
- 巴西预防计划 (PBP) 是目前巴西初级医疗保健的融资模式.
- 卫生部根据四个支付标准建立了PBP.
- 市政府正在探索战略,以提高初级医疗保健的绩效和财政拨款.
研究的目的:
- 对参与初级卫生保健创新实验室 (PHCIL) 的家庭卫生单位 (FHU) 与非参与单位的绩效和资源调动进行比较评估.
- 在PBP框架内评估PHCIL对FHU绩效的影响.
- 确定FHU的工作流程和护理管理需要改进的领域.
主要方法:
- 量化,分析,横截面研究.
- 从2021年到2022年,利用了来自坎波格兰德 (MS) 的63个FHU的二次数据.
- 在R进行的统计分析,显著程度为p <0.05.
主要成果:
- 在2022年,参与PHCIL的FHU与非参与单位相比,在统计学上表现出显著的优异表现.
- 该研究表明,需要在FHU内部进行创新,以改善结果.
- 参与和非参与的FHU都表现出提高绩效和增加资源调动的潜力.
结论:
- PHCIL倡议对FHU的业绩产生了积极影响,表明了初级医疗保健创新的价值.
- 对所有FHU来说,工作流程和护理管理的持续改进至关重要,以最大限度地提高PBP下的绩效和资源动员.
- 对FHU的创新策略进行进一步的研究是有必要的,以优化初级医疗保健的提供和融资.
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