秘鲁医疗氧生态系统的挑战:政治经济分析
Patricia J Garcia1, Freddy Eric Kitutu2,3,4, Jehnette M Guzman1
1School of Public Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
秘鲁面临着不平等的医疗氧气获取,特别是在COVID-19暴露市场和供应链弱点之后. 需要一个国家系统来提供可靠的氧气配送和维护,确保所有人平等获得氧气.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 卫生经济学 卫生经济学
背景情况:
- 医疗氧气对于治疗急性呼吸道疾病至关重要.
- 在像秘鲁这样的低收入和中等收入国家,医疗氧气的不平等接入仍然存在.
- COVID-19 流行病加剧了氧气供应链中的现有挑战.
研究的目的:
- 探索秘鲁在确保可靠的医疗氧气供应方面的挑战.
- 在COVID-19大流行期间识别导致氧气危机的因素.
- 为改善医疗氧气获取和卫生系统弹性制定战略提供信息.
主要方法:
- 政治经济学分析框架.
- 13个关键告密者采访与各种利益相关者.
- 对117个学术和灰色文献来源的审查.
主要成果:
- 疫情前的纯度要求限制了竞争,有利于大型液氧供应商.
- COVID-19 流行病揭示了市场限制,政府反应缓慢以及数据管理问题.
- 捐赠的氧气工厂由于维护和运营规划不足而未得到充分利用.
结论:
- 秘鲁迫切需要一个国家氧气系统来管理供应,分配和维护.
- 系统性漏洞需要基础设施投资,专用资金和人员培训.
- 协调政策对于公平的氧气获取和为未来的健康紧急情况做好准备至关重要.
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