战略性采购与卫生系统韧性：从若干欧洲国家的 COVID-19 疫情中吸取的经验教训。
Strategic purchasing and health systems resilience: Lessons from COVID-19 in selected European countries.
机构信息
Department of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
Department of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
出版信息
Health Policy. 2022 Sep;126(9):853-864. doi: 10.1016/j.healthpol.2022.06.005. Epub 2022 Jun 14.
Strategic purchasing is a popular and frequently proposed policy for improving the efficiency and adaptiveness of health systems. The COVID-19 pandemic shocked health systems, creating a test of the adaptability and resiliency of their key features. This research study explores (i) what role purchasing systems and agents played in the COVID-19 pandemic, (ii) if it was strategic, and (iii) how it has contributed to a resilient health system. We conducted a qualitative, comparative study of six countries in the European Union-focusing on three as in-depth case studies-to understand how and when strategic purchasers responded to seven clearly defined health system "shocks" that they all experienced during the pandemic. We found that every case country relied on the federal government to fund and respond to the pandemic. Purchasers often had very limited, and if any then only passive, roles.
战略采购是一种流行且经常被提议的政策，旨在提高卫生系统的效率和适应性。COVID-19 大流行冲击了卫生系统，对其关键特征的适应性和弹性进行了检验。本研究探讨了（i）采购系统和采购代理在 COVID-19 大流行中的作用，（ii）其是否具有战略性，以及（iii）它如何有助于建立有弹性的卫生系统。我们对欧盟的六个国家进行了定性、比较研究——重点对其中三个国家进行了深入案例研究——以了解战略采购方在应对大流行期间所有国家都经历的七个明确界定的卫生系统“冲击”时是如何以及何时做出反应的。我们发现，每个案例国家都依赖联邦政府为大流行提供资金和做出反应。采购方通常只扮演非常有限的角色，如果有的话，也只是被动的角色。
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