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How Could Private Healthcare Better Contribute to Healthcare Coverage in Vietnam?私人医疗如何能更好地为越南的医疗保健覆盖做出贡献?
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Scenario planning for community development in Vietnam: a new tool for integrated health approaches?越南社区发展的情景规划:综合健康方法的新工具?
Glob Health Action. 2014 Aug 18;7:24482. doi: 10.3402/gha.v7.24482. eCollection 2014.

在越南岘港汇聚各部门力量:参与式系统绘图法。

Bringing Sectors Together in Da Nang, Vietnam: Participatory Systems Mapping.

机构信息

The University of Danang, University of Science and Education, Da Nang, Vietnam.

Building Healthy Cities Project, Engaging Inquiry LLC, Durham, NC, USA.

出版信息

J Urban Health. 2022 Aug;99(4):760-769. doi: 10.1007/s11524-022-00650-6. Epub 2022 Jul 5.

DOI:10.1007/s11524-022-00650-6
PMID:35790692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9255833/
Abstract

The USAID-funded Building Healthy Cities (BHC) work in Da Nang, Vietnam, engaged 108 multi-sector stakeholders to gather qualitative data across two workshops and three citizen town halls from 2019 to 2021. These data were synthesized with the results from BHC's seven other activities in Da Nang to build systems maps. Contextual findings showed that multi-sector, multi-level participation and collaboration have been the key to moving the city toward their smart and livable city goals. Currently, citizen, nongovernmental organization, and private sector collaboration are low for many government sectors, which results in policy and programs that are mismatched to actual needs and therefore have less powerful impacts. When these policies and programs are implemented, they struggle to demonstrate strong benefits to these stakeholder groups, further decreasing participation. This is central to the systems map that BHC developed, and is expanded upon through additional patterns that fall within four main areas: management quality; vision and leadership; workforce capacity; and community engagement. Stakeholders found four key leverage points within this context that, if included in every action, could help overcome barriers. These leverage opportunities are: (1) investing at all levels; (2) improving function and innovation of information technology; (3) increasing participation and feedback; and (4) creating more responsive policy. As BHC concludes activities in Da Nang, local university students will be trained on systems mapping techniques to embed systems thinking skills into the next generation of workforce, and a set of recommendations will be developed to share with the government to act on these findings.

摘要

美国国际开发署(USAID)资助的越南岘港建设健康城市(BHC)项目,动员了 108 个多部门利益相关者,在 2019 年至 2021 年期间,通过两次研讨会和三次公民市政厅活动收集定性数据。这些数据与 BHC 在岘港的另外七个活动的结果一起综合起来,构建了系统图谱。背景调查结果表明,多部门、多层次的参与和协作是推动城市实现其智能宜居城市目标的关键。目前,许多政府部门的公民、非政府组织和私营部门的合作程度较低,导致政策和方案与实际需求不匹配,因此影响力较小。当这些政策和方案实施时,它们难以向这些利益相关者群体展示强大的效益,从而进一步降低了参与度。这是 BHC 开发的系统图谱的核心内容,并通过以下四个主要领域的其他模式进行了扩展:管理质量;愿景和领导力;劳动力能力;以及社区参与。利益相关者在这一背景下发现了四个关键的杠杆点,如果将这些杠杆点纳入每一项行动中,可能有助于克服障碍。这些杠杆机会是:(1)在各个层面进行投资;(2)改善信息技术的功能和创新;(3)增加参与和反馈;(4)制定更具响应性的政策。随着 BHC 在岘港的活动结束,当地大学生将接受系统图谱技术培训,将系统思维技能嵌入到下一代劳动力中,并制定一系列建议,提交给政府,以根据这些发现采取行动。