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首页> 美国卫生研究院文献>Malawi Medical Journal >Proposing the LEGS framework to complement the WHO building blocks for strengthening health systems: One needs a LEG to run an ethical resilient system for implementing health rights
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Proposing the LEGS framework to complement the WHO building blocks for strengthening health systems: One needs a LEG to run an ethical resilient system for implementing health rights

机译：提出LEGS框架以补充WHO加强卫生体系的基础：需要一个LEG来运行道德弹性的体系来实施卫生权利

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The aim of this paper is to present a new framework to design and run a responsive and resilient health system. It can be used by both private and public, profit and non-profit organizations in order to translate strategic goals of an organization into desirable and intended best practice, and results. This includes the health sector. The framework is based on the four pillars of leadership, ethics, governance and systems, hence called LEGS framework. It can complement the six World Health Organization building blocks that guide inputs to help a health system achieve the intended goals. Despite all the strengths of the World Health Organization building blocks for health systems strengthening, it is important to highlight a few challenges: Ethics is assumed but is not explicitly stated as part of any building block. Furthermore, the World Health Organization framework lacks the flexibility to accommodate other important factors which may differ in various settings and contexts. Hence, the World Health Organization building blocks are either difficult to apply or insufficient in certain contexts, especially in countries with rampant corruption, weak rule of law and systems. This paper explores areas to strengthen the existing framework so as to achieve the intended results efficiently in different contexts. The authors propose LEGS (Leadership, Ethics, Governance and Systems Framework). This framework is very flexible, simple to use, easy to remember, accommodates the existing six WHO building blocks and can better guide different health systems and actors to achieve intended goals by taking into consideration the contextual factors like deficits in moral capital, rule of law or socioeconomic determinants of health.
机译：本文的目的是提出一个新的框架，以设计和运行一个响应迅速且具有弹性的卫生系统。私有和公共组织，营利性组织和非营利性组织都可以使用它，以将组织的战略目标转化为理想的和预期的最佳实践以及结果。这包括卫生部门。该框架基于领导力，道德，治理和系统的四个支柱，因此被称为LEGS框架。它可以补充世界卫生组织的六个构建基块，这些构建基块可以指导意见以帮助卫生系统实现预期目标。尽管世界卫生组织在加强卫生系统方面具有所有优势，但重要的是要强调一些挑战：道德是假定的，但并未明确地列为任何组成部分的一部分。此外，世界卫生组织框架缺乏适应其他重要因素的灵活性，这些因素在不同环境和情况下可能有所不同。因此，在某些情况下，特别是在腐败猖either，法治和制度薄弱的国家中，世界卫生组织的基本组成部分要么难以实施，要么不足。本文探讨了加强现有框架的领域，以便在不同情况下有效实现预期结果。作者提出了LEGS（领导，道德，治理和系统框架）。该框架非常灵活，易于使用，易于记忆，适应了世卫组织现有的六个基本组成部分，并通过考虑诸如道德资本，法治不足之类的背景因素，可以更好地指导不同的卫生系统和行动者实现预期目标。或健康的社会经济决定因素。

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