撒哈拉以南非洲地区全民健康覆盖的公私伙伴关系：一项范围审查方案
Public-Private Partnerships for Universal Health Coverage in Sub-Saharan Africa: A Scoping Review Protocol.
作者信息
Otchere Godfred, Fusheini Adam, Sullivan Trudy, Gauld Robin, Penno Erin
机构信息
Department of Preventive and Social Medicine University of Otago Dunedin New Zealand.
Ministry for Social Development Wellington New Zealand.
出版信息
Health Sci Rep. 2025 Apr 21;8(4):e70746. doi: 10.1002/hsr2.70746. eCollection 2025 Apr.
BACKGROUND AND AIMS
Globally in the health sector, governments use public-private partnerships (PPPs) to make significant contributions to the development and implementation of national health policies and strategies to improve health systems and health outcomes. Following the World Health Organization's resolution on universal health coverage (UHC), healthcare PPPs have emerged as an innovative policy option, especially, for countries in sub-Saharan Africa (SSA) to progress towards achieving UHC. Although many studies have reported the use of healthcare PPPs, it appears no review has been conducted to synthesize evidence on how it facilitates or hinders progress toward attaining UHC in the SSA context. This review seeks to fill this research gap by systematically synthesizing the literature on healthcare PPPs used in SSA and examining how various forms of healthcare PPPs affect progress towards attaining UHC in SSA.
METHODS
Arksey and O'Malley's guidelines for conducting scoping reviews will guide the review process. PubMed, Medline (Ovid), Global Health (Ovid), Web of Science, Scopus, and EconLit will be searched for studies published from January 2013 to December 2023. Thematic analysis of data will be employed for this review.
DISCUSSION
Since the WHO endorsed the use of PPPs as a means of achieving UHC, PPPs in the health sector have increasingly become popular for many healthcare projects and services especially in SSA. Yet, limited evidence around how PPP models have taken shape and their impact on achieving UHC creates a significant gap in understanding how PPPs affect progress toward UHC.
CONCLUSION
To the best of our knowledge, this scoping review is the first to identify and examine healthcare PPPs in SSA for UHC. The approaches outlined in this protocol make several important advances in methods for examining PPPs, particularly for UHC in SSA, and can be applied elsewhere.
PROTOCOL REGISTRATION
This protocol has been registered on Open Science Framework and can be accessed at https://doi.org/10.17605/OSF.IO/V9874.
背景与目标
在全球卫生领域，各国政府利用公私伙伴关系（PPP）为国家卫生政策和战略的制定与实施做出重大贡献，以改善卫生系统和健康成果。继世界卫生组织关于全民健康覆盖（UHC）的决议之后，医疗保健公私伙伴关系已成为一种创新的政策选择，特别是对于撒哈拉以南非洲（SSA）国家朝着实现全民健康覆盖迈进而言。尽管许多研究报告了医疗保健公私伙伴关系的使用情况，但似乎尚未进行综述来综合关于其在撒哈拉以南非洲背景下如何促进或阻碍实现全民健康覆盖进展的证据。本综述旨在通过系统综合关于撒哈拉以南非洲使用的医疗保健公私伙伴关系的文献，并研究各种形式的医疗保健公私伙伴关系如何影响撒哈拉以南非洲实现全民健康覆盖的进展，来填补这一研究空白。
方法
将采用阿克西和奥马利进行范围综述的指南来指导综述过程。将检索PubMed、Medline（Ovid）、Global Health（Ovid）、Web of Science、Scopus和EconLit，查找2013年1月至2023年12月发表的研究。本综述将采用数据主题分析方法。
讨论
自从世界卫生组织认可使用公私伙伴关系作为实现全民健康覆盖的一种手段以来，卫生部门的公私伙伴关系在许多医疗保健项目和服务中越来越受欢迎，尤其是在撒哈拉以南非洲。然而，关于公私伙伴关系模式如何形成及其对实现全民健康覆盖的影响的证据有限，这在理解公私伙伴关系如何影响全民健康覆盖进展方面造成了重大差距。
结论
据我们所知，本范围综述是首次识别和研究撒哈拉以南非洲用于全民健康覆盖的医疗保健公私伙伴关系。本方案中概述的方法在研究公私伙伴关系的方法上取得了若干重要进展，特别是对于撒哈拉以南非洲的全民健康覆盖而言，并且可以在其他地方应用。
方案注册
本方案已在开放科学框架上注册，可在https://doi.org/10.17605/OSF.IO/V9874访问。
Zotero 插件