Department of Project Management Engineering and Technology, Hefei University of Technology, Hefei, Anhui Province, China.
Department of Project Management Engineering and Technology, Hefei University of Technology, Hefei, Anhui Province, China.
Value Health Reg Issues. 2024 Mar;40:45-52. doi: 10.1016/j.vhri.2023.09.010. Epub 2023 Nov 15.
Equitable distribution of quality healthcare services among different subpopulations in China and Nigeria is inconsistent. This necessitates an examination of potential avenues for improving healthcare provision in both countries. A comparative analysis of both health systems was carried out to provide insights into the progress each nation has made, the obstacles they face, and areas both countries can learn from each other.
We assessed 3 key dimensions of these systems using the Hsiao analytical framework. First, we scrutinized the policy levers of the health systems. Next, we evaluated intermediate outcomes, such as access to healthcare and the quality of care. Lastly, we assessed the extent to which the health systems achieve their ultimate goals, including improving citizen health status and enhancing overall patient satisfaction with the healthcare services.
China surpasses Nigeria in terms of better birth outcomes, life expectancy, and management of communicable diseases. Both countries offer minimal protection against out-of-pocket spending on medical bills, which consequently exacerbates the poverty rate.
China surpasses Nigeria in every health metrics. However, Nigeria's healthcare system offers services to a larger proportion of its populace because of the involvement of the private sector in healthcare delivery. Both countries continue to experience significant challenges, such as limited access to healthcare services in rural areas and overall patient dissatisfaction with the quality of care provided.
在中国和尼日利亚，不同亚人群之间公平分配高质量医疗服务的情况并不一致。这需要探索改善两国医疗服务提供的潜在途径。对这两种卫生系统进行了比较分析，以深入了解每个国家取得的进展、面临的障碍以及两国可以相互学习的领域。
我们使用 Hsiao 分析框架评估了这两个系统的 3 个关键维度。首先，我们仔细研究了卫生系统的政策手段。其次，我们评估了中间结果，如获得医疗保健的机会和医疗质量。最后，我们评估了卫生系统实现其最终目标的程度，包括改善公民健康状况和提高整体患者对医疗服务的满意度。
中国在改善生育结果、预期寿命和传染病管理方面优于尼日利亚。两国都几乎无法保护民众免受医疗费用自付的影响，这反过来又加剧了贫困率。
中国在所有卫生指标上都超过了尼日利亚。然而，由于私营部门参与医疗保健的提供，尼日利亚的医疗保健系统为更多的民众提供了服务。两国都继续面临重大挑战，例如农村地区获得医疗服务的机会有限，以及整体上患者对所提供的医疗质量不满意。
