生殖健康服务的特许经营
Franchising reproductive health services.
作者信息
Stephenson Rob, Tsui Amy Ong, Sulzbach Sara, Bardsley Phil, Bekele Getachew, Giday Tilahun, Ahmed Rehana, Gopalkrishnan Gopi, Feyesitan Bamikale
出版信息
Health Serv Res. 2004 Dec;39(6 Pt 2):2053-80. doi: 10.1111/j.1475-6773.2004.00332.x.
OBJECTIVES
Networks of franchised health establishments, providing a standardized set of services, are being implemented in developing countries. This article examines associations between franchise membership and family planning and reproductive health outcomes for both the member provider and the client.
METHODS
Regression models are fitted examining associations between franchise membership and family planning and reproductive health outcomes at the service provider and client levels in three settings.
RESULTS
Franchising has a positive association with both general and family planning client volumes, and the number of family planning brands available. Similar associations with franchise membership are not found for reproductive health service outcomes. In some settings, client satisfaction is higher at franchised than other types of health establishments, although the association between franchise membership and client outcomes varies across the settings.
CONCLUSIONS
Franchise membership has apparent benefits for both the provider and the client, providing an opportunity to expand access to reproductive health services, although greater attention is needed to shift the focus from family planning to a broader reproductive health context.
目标
在发展中国家，正在实施提供一套标准化服务的特许经营卫生机构网络。本文研究了特许经营成员身份与成员服务提供者和客户的计划生育及生殖健康结果之间的关联。
方法
在三种环境下，拟合回归模型以研究特许经营成员身份与服务提供者和客户层面的计划生育及生殖健康结果之间的关联。
结果
特许经营与一般客户量和计划生育客户量以及可用的计划生育品牌数量均呈正相关。未发现生殖健康服务结果与特许经营成员身份有类似关联。在某些环境中，特许经营机构的客户满意度高于其他类型的卫生机构，尽管特许经营成员身份与客户结果之间的关联因环境而异。
结论
特许经营成员身份对服务提供者和客户都有明显益处，为扩大生殖健康服务的可及性提供了机会，不过需要更多关注将重点从计划生育转向更广泛的生殖健康背景。
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