评估卫生系统和服务提供能力,以应对菲律宾不断变化的疾病模式:使用国家卫生信息系统纵向数据进行分析
Yikai Feng1, Roemer D Tanghal2, Beatriz Ianne Laolao3
1Department of Global Health, School of Public Health, Peking University, 38 Xue Yuan Road, Haidian District, Beijing, 100191, China.
Human resources for health
|January 6, 2026
概括
菲律宾面临着不断增加的非传染性疾病 (NCD),卫生资源与区域需求不一致. 像卢森岛和明达诺岛这样的优先领域需要更好的卫生系统发展和劳动力培训,以有效管理非传染性疾病.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 流行病学 流行病学
背景情况:
- 菲律宾正在经历非传染性疾病 (NCD) 的显著增加.
- 有效的健康规划需要将医疗服务覆盖范围和资源与区域NCD相关的健康需求相协调.
- 实现全民健康覆盖需要基于证据的NCD管理策略.
研究的目的:
- 评估菲律宾各地区卫生系统能力与非传染性疾病相关的卫生服务需求之间的一致性.
- 确定需要在NCD预防和管理方面更加关注的特定地区.
- 确定在非传染性疾病的背景下加强卫生系统的优先领域.
主要方法:
- 使用国家卫生数据 (2010-2022) 构建的非传染性疾病-医疗保健需求指数 (NCD-HCNI) 和卫生系统和服务交付指数 (HSSDI).
- 计算的卫生系统发展指数 (HSDI) 使用平均年百分比变化 (AAPC) 纵向趋势.
- 采用回归和相关性分析来检查卫生系统能力与区域,省和市级的NCD相关需求之间的关系.
主要成果:
- 达沃地区,卡拉巴松和国家首都地区的NCD-HCNI高,表明与NCD相关的重大健康需求.
- 国家首都地区和明达那北部的HSSDI较低,这表明卫生系统和服务提供能力有限.
- HSSDI和NCD-HCNI之间的负相关性表明卫生资源的可用性和NCD服务需求之间的反向关系.
结论:
- 菲律宾必须根据区域NCD需求和卫生系统发展,改善对卫生资源的细分分配.
- 优先地区,包括卢森 (NCR,卡拉巴松) 和敏达诺 (达沃地区,BARMM,北敏达诺),需要加强NCD服务和能力.
- 优先考虑卫生工作人员的培训和发展对于解决不断升级的非传染性疾病负担至关重要.
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