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人口健康与卫生服务:新冠疫情时代的旧挑战与新现实。

Population Health and Health Services: Old Challenges and New Realities in the COVID-19 Era.

机构信息

Department of Medicine, Nazarbayev University School of Medicine, Nur-Sultan 02000, Kazakhstan.

Spanish Network in Health Services Research and Chronic Diseases (REDISSEC), 28029 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 9;18(4):1658. doi: 10.3390/ijerph18041658.

Abstract

(1) Background: Health services that were already under pressure before the COVID-19 pandemic to maximize its impact on population health, have not only the imperative to remain resilient and sustainable and be prepared for future waves of the virus, but to take advantage of the learnings from the pandemic to re-configure and support the greatest possible improvements. (2) Methods: A review of articles published by the Special Issue on Population Health and Health Services to identify main drivers for improving the contribution of health services on population health is conducted. (3) Health services have to focus not just on providing the best care to health problems but to improve its focus on health promotion and disease prevention. (4) Conclusions: Implementing innovative but complex solutions to address the problems can hardly be achieved without a multilevel and multisectoral deliberative debate. The CHRODIS PLUS policy dialog method can help standardize policy-making procedures and improve network governance, offering a proven method to strengthen the impact of health services on population health, which in the post-COVID era is more necessary than ever.

摘要

(1) 背景:在 COVID-19 大流行之前,医疗服务已经承受着巨大压力,它们不仅必须保持弹性和可持续性,并为未来的病毒浪潮做好准备,而且还要利用大流行期间的经验教训重新配置和支持尽可能大的改进。(2) 方法:对人口健康与卫生服务特刊发表的文章进行回顾,以确定改善卫生服务对人口健康贡献的主要驱动因素。(3) 卫生服务不仅要专注于提供最佳的医疗服务,还要更加注重促进健康和预防疾病。(4) 结论:如果没有多层次和多部门的审议性辩论,实施创新但复杂的解决方案来解决这些问题几乎是不可能的。CHRODIS PLUS 政策对话方法可以帮助规范决策程序和改善网络治理,为加强卫生服务对人口健康的影响提供一种经过验证的方法,在后 COVID-19 时代,这比以往任何时候都更加必要。

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