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对初级医疗保健的财政资源分配:一项范围审查方案

Allocation of Financial Resources to Primary Healthcare: A Scoping Review Protocol.

作者信息

Mahdiyan Somayeh, Rezayatmand Reza, Amini-Rarani Mostafa, Shaarbafchizadeh Nasrin

机构信息

Healthcare Services Management, Health Management and Economics Research Center, Isfahan University of Medical Science, Isfahan, Iran.

Health Economics, Health Management & Economics Research Center, Isfahan University of Medical Science, Isfahan, Iran.

出版信息

Int J Prev Med. 2024 Aug 12;15:32. doi: 10.4103/ijpvm.ijpvm_264_23. eCollection 2024.

DOI:10.4103/ijpvm.ijpvm_264_23
PMID:39239297
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376499/
Abstract

BACKGROUND

Countries possessing robust primary healthcare (PHC) systems typically yield superior health outcomes, reduced inequality, and diminished healthcare expenses for their citizens. Moreover, PHC demonstrates a direct correlation with the efficient utilization of resources. However, the allocation of financial resources dedicated to PHC varies significantly among countries and lacks explicit clarity. Therefore, this paper aims to conduct a review of published literature to ascertain the extent of resource allocation to PHC across diverse nations. In addition, it aims to explore associated factors, challenges, and mechanisms influencing this allocation.

METHODS

This scoping review protocol will adopt the Joanna Briggs Institute's scoping review methodology, which was updated in 2020. It will leverage library studies and refer to reputable databases. The inclusion criteria will include studies conducted between January 2000 and December 2023, focusing on criteria, amounts, mechanisms, and challenges associated with financial resource allocation to PHC globally. In addition, studies must be published in either English and Persian. Studies lacking full-text availability will be excluded from the review. Mendeley software will be utilized to organize and manage the collected studies. The study selection process will be visually depicted using the PRISMA-SCR diagram. Conventional content analysis will be employed to analyze the studies.

CONCLUSIONS

Considering the position and role of primary health care in promoting the health of society, by implementing this protocol, the data obtained from the proposed scoping review will enable the managers and officials of the health system to follow the experiences of different countries in the field of scientific and fair allocation of financial resources to PHC, reinforcing Universal Health Coverage (UHC).

摘要

背景

拥有强大初级卫生保健(PHC)系统的国家通常能为其公民带来更好的健康结果、减少不平等并降低医疗费用。此外,初级卫生保健与资源的有效利用直接相关。然而,各国用于初级卫生保健的财政资源分配差异很大,且缺乏明确的清晰度。因此,本文旨在对已发表的文献进行综述,以确定不同国家对初级卫生保健的资源分配程度。此外,它旨在探讨影响这种分配的相关因素、挑战和机制。

方法

本范围综述方案将采用乔安娜·布里格斯研究所2020年更新的范围综述方法。它将利用图书馆研究并参考知名数据库。纳入标准将包括2000年1月至2023年12月期间进行的研究,重点关注全球初级卫生保健财政资源分配的标准、金额、机制和挑战。此外,研究必须以英文和波斯文发表。缺乏全文的研究将被排除在综述之外。将使用Mendeley软件来组织和管理收集到的研究。研究选择过程将使用PRISMA-SCR图直观地描述。将采用传统内容分析法对研究进行分析。

结论

考虑到初级卫生保健在促进社会健康方面的地位和作用,通过实施本方案,从拟议的范围综述中获得的数据将使卫生系统的管理人员和官员能够借鉴不同国家在科学、公平地分配初级卫生保健财政资源方面的经验,加强全民健康覆盖(UHC)。

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本文引用的文献

1
Public financing for primary health care is the key to universal health coverage and strengthening health security.初级卫生保健的公共筹资是实现全民健康覆盖和加强卫生安全的关键。
Lancet Glob Health. 2022 May;10(5):e602-e603. doi: 10.1016/S2214-109X(22)00166-8. Epub 2022 Apr 4.
2
Provider perspectives on financing primary health care for universal health coverage.医疗服务提供者对全民健康覆盖下初级卫生保健融资的看法。
Lancet Glob Health. 2022 May;10(5):e609-e610. doi: 10.1016/S2214-109X(22)00173-5. Epub 2022 Apr 4.
3
The Lancet Global Health Commission on financing primary health care: putting people at the centre.
《柳叶刀》全球初级卫生保健融资委员会:将人置于中心位置。
Lancet Glob Health. 2022 May;10(5):e715-e772. doi: 10.1016/S2214-109X(22)00005-5. Epub 2022 Apr 4.
4
A review of appropriate indicators for need-based financial resource allocation in health systems.卫生系统基于需求的财政资源配置适宜指标综述。
BMC Health Serv Res. 2021 Jul 9;21(1):674. doi: 10.1186/s12913-021-06522-0.
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The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland.**新冠疫情对按人头付费制度下基层医疗服务提供者绩效的影响:来自波兰的案例研究。**
Int J Environ Res Public Health. 2021 Feb 3;18(4):1407. doi: 10.3390/ijerph18041407.
6
Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward.健康与养生中心加强印度初级卫生保健:概念、进展与未来方向。
Indian J Pediatr. 2020 Nov;87(11):916-929. doi: 10.1007/s12098-020-03359-z. Epub 2020 Jul 8.
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Primary health care financing changes in the Brazilian Health System: advance ou setback?巴西卫生系统中的初级卫生保健筹资变革:前进还是倒退?
Cien Saude Colet. 2020 Mar;25(4):1181-1188. doi: 10.1590/1413-81232020254.01022020.
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Current tools available for investigating vaccine hesitancy: a scoping review protocol.当前用于调查疫苗犹豫的工具:范围综述方案。
BMJ Open. 2019 Dec 11;9(12):e033245. doi: 10.1136/bmjopen-2019-033245.
9
Analysis of Public-Private Partnership in Providing Primary Health Care Policy: An Experience From Iran.提供初级卫生保健政策中的公私伙伴关系分析:来自伊朗的经验
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719881507. doi: 10.1177/2150132719881507.
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Health system financing paradigm in the state of São Paulo: a regional analysis.圣保罗州的卫生系统融资模式:区域分析。
Rev Saude Publica. 2019;53:39. doi: 10.11606/S1518-8787.2019053000796. Epub 2019 May 6.