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首页> 美国卫生研究院文献>BMC Health Services Research >Enhancing governance and health system accountability for people centered healthcare: an exploratory study of community scorecards in Afghanistan
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Enhancing governance and health system accountability for people centered healthcare: an exploratory study of community scorecards in Afghanistan

机译：加强对以人为本的医疗保健的治理和卫生系统问责制：对阿富汗社区记分卡的探索性研究

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摘要

BackgroundThe premise of patient-centered care is to empower patients to become active participants in their own care and receive health services focused on their individual needs and preferences. Afghanistan has evidenced enormous gains in coverage and utilization, but the quality of care remains suboptimal, as evidenced in the balanced scorecard (BSC) performance assessments. In the United States and throughout Africa and Asia, community scorecards (CSC) have proved effective in improving accountability and responsiveness of services. This study represents the first attempt to assess CSC feasibility in a fragile context (Afghanistan) through joint engagement of service providers and community members in the design of patient-centered services with the objective of assessing impact on service delivery and perceived quality of care.
机译：背景技术以患者为中心的护理的前提是使患者有能力成为自己的护理的积极参与者，并获得针对其个人需求和偏好的医疗服务。阿富汗已证明在覆盖和利用方面取得了巨大进展，但护理质量仍然欠佳，正如平衡计分卡（BSC）绩效评估所证明的那样。在美国以及整个非洲和亚洲，事实证明，社区记分卡（CSC）可有效改善服务的问责制和响应能力。这项研究是通过在服务提供商和社区成员的共同参与下，以患者为中心的服务设计，目的是评估在脆弱的环境中（阿富汗）CSC可行性的首次尝试，目的是评估对服务交付和感知医疗质量的影响。

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