Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.
Health Policy. 2010 Jul;96(2):128-33. doi: 10.1016/j.healthpol.2010.01.013. Epub 2010 Feb 21.
Integrated Management of Childhood Illness (IMCI) is a pediatric care management strategy that has been shown to improve health care service quality and increase health care cost savings in multi-country evaluations. However, many countries have faced significant training, health system, political, and financial constraints to national implementation and, as a result, have not been able to observe sustained benefits of IMCI. This article reviews the literature for evidence of IMCI health impacts, common implementation constraints, and policy strategies for health system strengthening and successful implementation.
儿童疾病综合管理（IMCI）是一种儿科护理管理策略，多国评估表明，该策略可提高医疗服务质量并增加医疗成本节约。然而，许多国家在国家实施方面面临着重大的培训、卫生系统、政治和财政限制，因此未能观察到 IMCI 的持续效益。本文综述了有关 IMCI 健康影响、常见实施限制以及加强卫生系统和成功实施的政策策略的文献。
