• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >Participation in the state led ‘ Janani Sahayogi Yojana’ public private partnership program to promote facility births in Madhya Pradesh, India: views from private obstetrician partners
【24h】

Participation in the state led ‘ Janani Sahayogi Yojana’ public private partnership program to promote facility births in Madhya Pradesh, India: views from private obstetrician partners

机译：参与国家LED'Janani Sahayogi Yojana'公共私人伙伴关系计划，推动印度Madhya Pradesh的设施出生：私人产科医生合作伙伴的意见

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In Madhya Pradesh, India, the government invited private obstetric hospitals for partnership to provide intrapartum care to poor women, paid for by the state. This statewide program, the Janani Sahayogi Yojana (JShY or maternal support scheme), ran from 2006 to 2012. The partnership was an uneasy one with many private obstetricians choosing to leave the partnership. This paper explores the motives of private obstetricians in the state for participating in the JShY, their experiences within the partnership, their interactions with the state and motives for withdrawal among those who withdrew from the scheme. This study sheds light on the dynamics of a public-private partnership for obstetric care from the perspective of private sector obstetricians. Fifteen in-depth interviews were conducted with private obstetricians and hospital administrators from eight districts of Madhya Pradesh who had participated in the JShY. A Framework approach was used to analyze the data. Private obstetricians reported entering the JShY partnership for altruistic reasons but also as way of expanding their practices and reputations. They perceived that although their facilities provided better quality of care than state facilities, participation was risky because beneficiaries were often unbooked and seen as ‘high risk’ cases. The need to arrange for blood transfusions for these high risk women was perceived as particularly difficult. Cumbersome paper work and delays in receiving payments from the state also dissuaded participation. Some participants felt that there was inadequate engagement by the state, and better monitoring and supervision would have helped. The state changed the financial reimbursement arrangements due to a high proportion of Cesarean births in the early years of the partnership, as these were perversely incentivized. This change resulted in a large exodus of private obstetricians from the partnership. This study highlights the contribution of cumbersome processes, trust deficits and a lack of dialogue between public and private partners. Input from both public and private sectors into the design of a carefully thought through financial reimbursement package for private partners was highlighted as a necessary component for future success of such schemes.
机译：在印度的Madhya Pradesh，政府邀请私人产科医院进行伙伴关系，为贫困妇女提供贫困妇女，由国家支付。在2006年至2012年，这项全州全国范围内的Janani Sahayogi Yojana（JShy或孕产妇支持计划），伙伴关系是一个不安的私人产科医生，选择留下伙伴关系。本文探讨了私人产科医生在参与JSHY的私人产科医生的动机，他们在伙伴关系中的经验，他们与撤回该计划的人的国家和动机的互动。本研究揭示了私营部门产科医生的产科护理的公私伙伴关系的动态。来自私人产科医生和医院管理员的十五次深入访谈，来自曾经参加过JSHY的Madhya Pradesh的八个地区。使用框架方法来分析数据。私人产科医生报告说，进入利他主义原因的JSHY伙伴关系，也是扩大其实践和声誉的方式。他们认为，虽然他们的设施提供了比国家设施更好的护理质量，但参与是有风险的，因为受益者经常未被预订并被视为“高风险”案件。确保对这些高风险女性进行血液输出的需要特别困难。繁琐的纸质工作和延迟接收国家的支付也丧失了参与。一些参与者认为，国家的参与度不足，更好的监测和监督将有所帮助。国家在伙伴关系的早期剖宫产比例较高的剖宫产，国家改变了财务报销安排，因为这些普遍激励了。这种变化导致了伙伴关系的大量私人产科医生。本研究强调了繁琐的流程，信任赤字和公共和私人合作伙伴之间缺乏对话的贡献。公共和私营部门的投入进入通过财务报销包的设计仔细思考，以私人合作伙伴被强调为未来此类计划成功的必要组成部分。

著录项

相似文献

  • 外文文献
  • 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