• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文会议>Information and Communication Technologies for Development >Socializing Accountability for Improving Primary Healthcare: An Action Research Program in Rural Karnataka
【24h】

Socializing Accountability for Improving Primary Healthcare: An Action Research Program in Rural Karnataka

机译：社会责任制以改善基本医疗保健：卡纳塔克邦农村的一项行动研究计划

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The Alma Ata Declaration of 1978 invoked a socialising form of accountability through which communities and health workers participated in and were jointly accountable for primary healthcare. Aside from a few experiments, by the 1990s these ideals were quickly replaced by policy prescriptions based on increasing efficiency in data quality and reporting through the introduction of health information systems. More recently, there has been a revival of interest in community participation as a mechanism for improving the poor status of primary healthcare in developing countries through the constitution of village health committees. This paper documents and reflects on nine years of research on interventions aimed at improving primary healthcare accountability in rural Karnataka. Over this period, our focus has shifted from studying how computerised health information systems can strengthen conventional accountability systems to a period of extended participatory action research aimed at socialising accountability practices at village level. The findings from this study constitute vital knowledge for reforming the primary healthcare sector through different policy measures including the design of appropriate technology-based solutions.
机译：1978年的《阿拉木图宣言》援引了一种问责制的社会化形式，通过这种形式，社区和卫生工作者参与并共同负责基本医疗保健。除了进行一些实验外，到1990年代，这些理想很快被基于提高数据质量效率和通过引入健康信息系统进行报告的政策规定所取代。最近，人们对社区参与的兴趣正在复苏，作为通过建立乡村健康委员会来改善发展中国家的初级保健状况的一种机制。本文记录并反思了旨在改善卡纳塔克邦农村地区初级卫生保健责任的干预措施的九年研究。在此期间，我们的重点已从研究计算机化的健康信息系统如何增强传统的问责制转变到了一个扩展的参与性行动研究期，旨在使村级问责制社会化。这项研究的结果构成了通过不同政策措施（包括设计适当的基于技术的解决方案）改革基础医疗保健部门的重要知识。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号