评估公私伙伴关系在非传染性疾病管理方面的表现,采用混合方法方法
Mehrdad Salehi1, Amir Ghasemian1, Aboalfazl Marvi1
1Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Scientific reports
|November 11, 2025
概括
低收入和中等收入国家 (LMICs) 的公共卫生保健中心在管理非传染性疾病 (NCDs) 方面表现比外包中心更好. 管理和运营方面的障碍阻碍了NCD护理的有效的公私合作伙伴关系 (PPP).
科学领域:
- 公共卫生政策和管理
- 医疗保健系统研究研究
- 非传染性疾病 (NCD) 流行病学
背景情况:
- 非传染性疾病 (NCD) 构成了全球健康负担,特别是在资源有限的低收入和中等收入国家 (LMICs).
- 公私伙伴关系 (PPP) 越来越多地被采用,以提高LMICs的初级医疗保健的可访问性和效率.
- 在受限制的卫生系统中,PPP在管理非传染性疾病方面的有效性需要彻底评估.
研究的目的:
- 评估公共与外包医疗保健中心在管理非传染性疾病方面的表现.
- 识别影响 NCD 管理 PPP 成功实施的系统和运营障碍.
- 为优化PPP在LMIC医疗保健机构提供基于证据的建议.
主要方法:
- 一种连续的混合方法方法,将定量和定性数据结合起来.
- 从2018-2022年使用SPSS v26.26,对与NCD相关的关键绩效指标 (KPIs) 的定量分析.
- 从与16名医疗保健提供者的半结构面试中获得的定性见解,使用MAXQDA 2020进行分析.
主要成果:
- 与外包中心相比,公共卫生保健中心在NCD查,诊断和管理KPI方面表现优越.
- 发现的管理挑战包括无效的外包,协调不良,激励不足和监控薄弱.
- 运营方面的挑战包括高员工流动,健康信息系统不足,服务提供分散,基础设施不足等.
结论:
- 虽然PPP在资源有限的环境中为服务提供提供潜在的好处,但它们在NCD管理中的有效性受到治理和结构问题的限制.
- 对非传染性疾病的有效PPP实施需要解决已识别的管理和运营障碍.
- 政策改革强调强有力的监督,跨部门合作和战略性医疗系统投资对于改善LMIC中通过PPP改善NCD护理至关重要.
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