巴基斯坦综合初级卫生保健服务的成本分析
Shiraz Shaikh1, Greesh Maheshwari1, Saima Ibbad1
1APPNA Institute of Public Health, Jinnah Sindh Medical University, Karachi, Pakistan.
概括
在巴基斯坦实施综合初级卫生保健需要大量资源. 随着服务量增加和定期进行成本分析以更好地分配资源,成本效益会提高.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 主要医疗保健管理的管理.
背景情况:
- 初级卫生保健 (PHC) 对于实现全民健康覆盖 (UHC) 和改善健康结果至关重要.
- 为了有效地实施PHC,需要适当的资源配置.
- 资源估计对于成功实施PHC套餐至关重要.
研究的目的:
- 估计在巴基斯坦辛德省实施综合初级医疗保健套餐相关的成本.
- 分析PHC内部不同服务提供模式的财务影响.
主要方法:
- 开发了一套综合的PHC服务包和标准治疗指南.
- 从4个地区的12个基本卫生单位收集了成本和服务量数据.
- 使用CORE Plus工具分析了三种不同的服务交付场景下的数据.
主要成果:
- 每项服务的标准成本随着24小时孕产妇护理单位的数量增加而下降.
- 每1万人口的年标准成本在全天候单位 (US$38,315 - US$56,719) 的不同场景中有所不同.
- 药品,用品,实验室测试,员工工资和运营成本构成了主要的成本组成部分.
结论:
- 综合服务和定期成本分析可以提高初级卫生中心的成本效益.
- 调整资源与护理需求对优化服务提供至关重要.
- 该研究强调了扩大综合PHC服务的财务考虑.
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