重新考虑治理模式以加强农村医疗保健
F McDonald1,2, C Malatzky3, D Sedgwick Fincher4
1Faculty of Law, Victoria University of Wellington, P.O. Box 600, Wellington, 6140, New Zealand. fiona.mcdonald@vuw.ac.nz.
Journal of bioethical inquiry
|October 23, 2025
概括
这项研究倡导将医疗管理从集中控制转变为民主参与. 赋予当地社区权力对于改善区域,农村和偏远地区的医疗保健准入至关重要.
科学领域:
- 卫生政策和治理卫生政策和治理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 当前的医疗保健系统往往表现出以大都市为中心和技术统治的偏见.
- 新自由主义的方法将社区的声音边缘化,将其视为次要投入.
- 在区域,农村和偏远的环境中,医疗保健的不平等接入仍然存在.
研究的目的:
- 倡导医疗保健决策权的范式转变.
- 促进卫生系统的民主和参与式治理模式.
- 加强在服务不足的地理区域提供和获得医疗保健.
主要方法:
- 批评现有的新自由主义医疗管理框架.
- 从健康正义和空间正义的角度进行分析.
- 关于将公众参与纳入卫生系统治理的论点.
主要成果:
- 重新平衡决策权对于公平的医疗保健至关重要.
- 参与式治理可以改善非大都市地区的医疗保健接入.
- 社区的自决与有效的医疗服务提供有关.
结论:
- 民主和参与模式对于解决医疗保健差异至关重要.
- 治理转变使当地社区成为医疗保健中的积极代理人.
- 卫生和空间正义需要卫生系统的包容性决策.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Tertiary Healthcare System
2.1K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.1K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Models of Health Promotion and Illness Prevention I
2.7K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.7K

