国际卫生集体行动:目标,功能和理由
D T Jamison1, J Frenk, F Knaul
1Center for Pacific Rim Studies, UCLA, Los Angeles, CA 90095-1487, USA.
Lancet (London, England)
|March 3, 1998
概括
国际卫生组织需要明确的核心和辅助功能,以提高绩效. 该框架将全球公共产品和外部性与国家卫生系统支持区分开来,指导组织角色.
科学领域:
- 全球健康 全球健康
- 卫生政策 卫生政策
- 国际关系 国际关系
背景情况:
- 国际卫生组织 (IHO) 需要明确的任务才能有效执行.
- 现有的框架没有明确对IHO功能进行分类.
- 定义基本功能对于优化全球卫生工作至关重要.
研究的目的:
- 制定一个框架,对国际卫生组织的基本功能进行分类.
- 根据其范围和受益人来区分核心和辅助功能.
- 为协调组织任务与特定职能类型提供指导.
主要方法:
- 基于文献审查和分析的概念框架开发.
- 根据主权和需要,将职能分为"核心"和"辅助"的分类.
- 对国际公共产品,外部性和国家系统缺陷的例子进行分析.
主要成果:
- 确定了两个主要类别的基本功能:核心和辅助.
- 核心功能涉及国际公共产品 (例如,研发) 和全球外部性 (例如,病原体监测).
- 支持功能解决国家卫生系统的差距 (例如,对弱势群体的援助,技术合作).
结论:
- 核心职能有利于所有国家,而辅助职能则针对有更大需求的国家.
- 将像世界卫生组织这样的组织与核心职能以及世界银行与支持性职能相结合,提高了效率.
- 清晰的功能框架对于定义国际卫生组织的角色和提高其绩效至关重要.
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