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在哥伦比亚实施马拉维 SURG-Africa 模式的可操作性和可持续性的经验教训——对“通过外科团队指导改善手术服务获取机会:来自马拉维与当地利益攸关方进行小组模型构建的政策经验教训”的评论。

Lessons for the Implementability and Sustainability of the SURG-Africa Model of Malawi in Colombia Comment on "Improving Access to Surgery Through Surgical Team Mentoring - Policy Lessons From Group Model Building With Local Stakeholders in Malawi".

机构信息

Family Medicine Department, Universidad Pedagógica y Tecnológica de Colombia (UPTC), Tunja, Colombia.

出版信息

Int J Health Policy Manag. 2022 Dec 6;11(11):2759-2761. doi: 10.34172/ijhpm.2022.6974. Epub 2022 Jun 21.

Abstract

The development of models that allow improving the quality to achieve person-centered care is a challenge for any health system, especially in low- and middle-income countries, due to the economic difficulties inherent to the countries and to the cost involved in its implementation, which should be assumed by the states, avoiding that the economic burden is assumed by the population, and approaching the goal of universal health coverage. The availability of human talent and efficiency in the use of basic and specialized human talent is a necessity to improve safe access to health services, in this sense, the model proposed by SURG-Africa and whose sustainability in Malawi was evaluated, is an important reference for the establishment and sustainability of these models with other specialties and in other countries. Through this article, the elements of education, care model and financing for the implementation of the strategy in family medicine in the Colombian health system are explored.

摘要

建立模型以提高医疗质量、实现以患者为中心的医疗服务是任何医疗体系面临的挑战,对于中低收入国家来说更是如此,因为这些国家普遍面临经济困难,且模型实施的成本很高,应由国家承担,避免将经济负担转嫁给民众,从而实现全民健康覆盖的目标。在确保安全获得医疗服务方面,人力资源的可得性和基础及专业人力资源的使用效率至关重要。从这个意义上讲,SURG-Africa 提出的模式及其在马拉维的可持续性评估为在其他国家和其他专业领域建立和维持这些模式提供了重要参考。本文探讨了在哥伦比亚卫生系统中实施家庭医学战略的教育、护理模式和融资要素。

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