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省级卫生系统:是否正在崩溃?

Provincial Health Systems: Are They Imploding?

机构信息

Editor-in-Chief.

出版信息

Healthc Policy. 2022 Aug;18(1):6-16. doi: 10.12927/hcpol.2022.26910.

DOI:10.12927/hcpol.2022.26910
PMID:36103232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9467268/
Abstract

Recently, we have all seen myriad articles in the national newspapers announcing that provinces' healthcare systems are imploding, with authors describing systems in states of "crisis" (Laverly 2022), "visibly coming apart" (Tumilty 2022), "broken" (Urback 2022) and "a travesty" (Picard 2022). Without minimizing the hardships or frustrations that some patients and their families have been experiencing at the hands of provincial health systems, are the harsh descriptors apt or fair?

摘要

最近,我们在全国性报纸上看到了无数篇文章,称各省的医疗保健系统正在崩溃,作者将这些系统描述为处于“危机”(Laverly 2022)、“明显崩溃”(Tumilty 2022)、“破裂”(Urback 2022)和“闹剧”(Picard 2022)的状态。虽然我们不能轻视一些患者及其家属在省级医疗保健系统中所经历的困难或挫折,但使用如此严厉的描述词是否恰当或公平?

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本文引用的文献

1
Public Health Messaging during the COVID-19 Pandemic and Its Impact on Family Caregivers' COVID-19 Knowledge.新冠疫情期间的公共卫生信息传递及其对家庭护理人员新冠知识的影响。
Healthc Policy. 2022 Aug;18(1):75-89. doi: 10.12927/hcpol.2022.26903.
2
Building Blocks to Sustainable Rural Maternity Care: Toward a Systems Approach to Service Planning.可持续农村孕产妇保健的基石:迈向服务规划的系统方法。
Healthc Policy. 2022 Aug;18(1):60-74. doi: 10.12927/hcpol.2022.26904.
3
Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?家庭医疗诊所是否通过医疗改革推动的组织变革改善了医疗服务的可及性?
Healthc Policy. 2022 Aug;18(1):46-59. doi: 10.12927/hcpol.2022.26905.
4
Commentary: From Mixtapes to Playlists - Evolving Options for Capturing Diagnoses in Canadian Physicians' Data.述评:从混音带到播放列表——加拿大医生数据中诊断信息采集方式的演变。
Healthc Policy. 2022 Aug;18(1):40-45. doi: 10.12927/hcpol.2022.26906.
5
Leaving the Walkman and ICD-9 Behind: Modernizing the Disease Classification System Used by Canadian Physicians.抛弃随身听和 ICD-9:加拿大医生使用的疾病分类系统现代化。
Healthc Policy. 2022 Aug;18(1):32-39. doi: 10.12927/hcpol.2022.26907.
6
Commentary: Burning Platforms, Icebergs and Tipping Points - Canada Needs a Single Socially Accountable Healthcare System.评论:燃烧的平台、冰山和临界点——加拿大需要一个单一的有社会责任感的医疗保健系统。
Healthc Policy. 2022 Aug;18(1):26-31. doi: 10.12927/hcpol.2022.26908.
7
Pan-Canadian Registration and Licensure of Health Professionals: A Path Forward Emerging from a Best Brains Exchange Policy Dialogue.泛加健康专业人员注册和许可:从最佳头脑政策对话中浮现的前进道路。
Healthc Policy. 2022 Aug;18(1):17-25. doi: 10.12927/hcpol.2022.26909.