影响不列颠哥伦比亚省公共卫生融资的因素:一个定性案例研究
Mélanie S S Seabrook1,2, Mehdi Ammi3, Ak'ingabe Guyon4
1North American Observatory on Health Systems and Policies, Toronto, ON, Canada. melanie.seabrook@mail.utoronto.ca.
Canadian journal of public health = Revue canadienne de sante publique
|December 11, 2025
概括
稳定的公共卫生资金依赖于了解政治,结构和外部影响. 关键战略包括将公共卫生专家纳入财务决策,并制定可持续系统的绩效指标.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗系统融资 医疗系统融资
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的公共卫生系统需要稳定和足够的资金.
- 关于公共卫生系统融资的现有研究是有限的,造成了知识差距.
研究的目的:
- 确定影响公共卫生系统内财务决策的关键因素.
- 发现提高公共卫生资金可持续性的战略.
主要方法:
- 在不列颠哥伦比亚省进行的定性案例研究.
- 包括对学术和灰色文献的司法审查.
- 与公共卫生预算制定中的14个主要利益相关者进行了半结构化访谈.
主要成果:
- 外部因素 (危机,社会政治事件) 创造了融资机会或风险.
- 公共卫生预算的结构性分离保护了资金.
- 政治优先级和强大的利益相关者关系对于投资至关重要.
结论:
- 包括公共卫生专家在财务决策中的政策策略可以维持资金.
- 制定公共卫生绩效指标可能有助于加强系统的努力.
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