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3
Cost of delivering child immunization services in urban Bangladesh: a study based on facility-level surveys.孟加拉国城市地区提供儿童免疫服务的成本：一项基于机构层面调查的研究。
J Health Popul Nutr. 2004 Dec;22(4):404-12.
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伊朗作为初级卫生保健公私伙伴关系模式的健康合作社经验：东阿塞拜疆的一项比较研究。

Iran's Experience of Health Cooperatives as a Public-Private Partnership Model in Primary Health Care: A Comparative Study in East Azerbaijan.

作者信息

Farahbakhsh Mostafa, Sadeghi-Bazargani Homayoun, Nikniaz Alireza, Tabrizi Jafar Sadegh, Zakeri Akram, Azami Saber

机构信息

Clinical Psychiatry Research center, Razi Hospital, Tabriz University of medical sciences, Tabriz, Iran.

Traffic Injury Prevention Research Center, Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Health Promot Perspect. 2012 Dec 28;2(2):287-98. doi: 10.5681/hpp.2012.034. eCollection 2012.

DOI:10.5681/hpp.2012.034
PMID:24688945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3963636/
Abstract

BACKGROUND

Iran started a new public-private partnership model in form of health coopera¬tives which is somehow different from other types of health cooperatives throughout the world. In this study we compared the performance and quality of health services in public health cen¬ters (PHCs) and cooperative health centers (CHCs).

METHODS

In this comparative study performance quality of two cohorts of public and coopera¬tive health centers were compared in several health service delivery programs over the time pe¬riod of 2001- 2002.

RESULTS

Screening program: the rate of visited population during screening program was higher in CHCs. Maternal health care program: In some of studied programs CHCs had better results. Child health care: Most indicators were better or similar in CHCs. School health program and Health education: All indices were better or similar in CHCs. Environmental health: population based positive function was not significantly different for the population covered by CHCs compared to population covered by PHCs.

MANAGEMENT

Client and staff satisfaction as well as participation and attitudes of personnel towards management was better in CHCs. Mean annual cost per capita of the covered population by PHCs was higher.

CONCLUSION

CHCs as a public private partnership model in Iran may deliver preventive health care services as effective as PHCs in many fields and even better in some areas.

摘要

背景

伊朗启动了一种新型公私合作模式，即健康合作社，这在某种程度上有别于全球其他类型的健康合作社。在本研究中，我们比较了公共卫生中心（PHC）和合作健康中心（CHC）的卫生服务绩效和质量。

方法

在这项比较研究中，于2001年至2002年期间，在若干卫生服务提供项目中对公共卫生中心和合作健康中心两组的绩效质量进行了比较。

结果

筛查项目：合作健康中心筛查项目期间的就诊人口率更高。孕产妇保健项目：在一些研究项目中，合作健康中心有更好的结果。儿童保健：合作健康中心的大多数指标更好或相近。学校卫生项目和健康教育：合作健康中心的所有指标更好或相近。环境卫生：与公共卫生中心覆盖的人群相比，合作健康中心覆盖人群的基于人群的积极功能无显著差异。

管理

合作健康中心的客户和员工满意度以及人员对管理的参与度和态度更好。公共卫生中心覆盖人群的人均年成本更高。

结论

作为伊朗公私合作模式的合作健康中心在许多领域提供预防性卫生保健服务的效果可与公共卫生中心相媲美，在某些领域甚至更好。