Obermann Konrad, Chanturidze Tata, Glazinski Bernd, Dobberschuetz Karin, Steinhauer Heiko, Schmidt Jean-Olivier
Mannheim Institute of Public Health (MIPH), Heidelberg University, Ludolf-Krehl-Str. 7-11, Mannheim, 68167, Germany.
Oxford Policy Management, Oxford, UK.
Health Econ Rev. 2018 Feb 20;8(1):4. doi: 10.1186/s13561-018-0188-4.
Managers and administrators in charge of social protection and health financing, service purchasing and provision play a crucial role in harnessing the potential advantage of prudent organization, management and purchasing of health services, thereby supporting the attainment of Universal Health Coverage. However, very little is known about the needed quantity and quality of such staff, in particular when it comes to those institutions managing mandatory health insurance schemes and purchasing services. As many health care systems in low- and middle-income countries move towards independent institutions (both purchasers and providers) there is a clear need to have good data on staff and administrative cost in different social health protection schemes as a basis for investing in the development of a cadre of health managers and administrators for such schemes. We report on a systematic literature review of human resources in health management and administration in social protection schemes and suggest some aspects in moving research, practical applications and the policy debate forward.
负责社会保护、卫生筹资、服务采购和提供的管理人员及行政人员，在利用审慎组织、管理和采购卫生服务的潜在优势方面发挥着关键作用，从而支持实现全民健康覆盖。然而，对于这类工作人员所需的数量和质量，我们知之甚少，尤其是涉及管理强制性医疗保险计划和采购服务的机构时。随着许多低收入和中等收入国家的医疗保健系统向独立机构（采购方和提供方）转变，显然需要掌握不同社会健康保护计划中有关工作人员和行政成本的良好数据，以此作为投资培养此类计划的卫生管理人员和行政人员队伍的依据。我们报告了对社会保护计划中卫生管理和行政方面人力资源的系统文献综述，并提出了推动研究、实际应用和政策辩论向前发展的一些方面。
