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首页> 美国卫生研究院文献>International Journal for Equity in Health >Contracting-out primary health care services in Tanzania towards UHC: how policy processes and context influence policy design and implementation
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Contracting-out primary health care services in Tanzania towards UHC: how policy processes and context influence policy design and implementation

机译：将坦桑尼亚的初级卫生保健服务外包给UHC：政策流程和背景如何影响政策设计和实施

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BackgroundGovernments increasingly recognize the need to engage non-state providers (NSPs) in health systems in order to move successfully towards Universal Health Coverage (UHC). One common approach to engaging NSPs is to contract-out the delivery of primary health care services. Research on contracting arrangements has typically focused on their impact on health service delivery; less is known about the actual processes underlying the development and implementation of interventions and the contextual factors that influence these. This paper reports on the design and implementation of service agreements (SAs) between local governments and NSPs for the provision of primary health care services in Tanzania. It examines the actors, policy process, context and policy content that influenced how the SAs were designed and implemented.
机译：背景政府越来越认识到有必要让非国家提供者（NSP）参与卫生系统，以便成功地实现全民健康覆盖（UHC）。吸引NSP的一种常见方法是将初级卫生保健服务的提供外包。有关合同安排的研究通常集中在其对卫生服务提供的影响上；关于干预措施的制定和实施的实际过程以及影响这些措施的背景因素知之甚少。本文报告了地方政府与NSP之间在坦桑尼亚提供初级医疗保健服务的服务协议（SA）的设计和实施情况。它检查了影响SA设计和实施方式的参与者，政策流程，背景和政策内容。

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