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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Strategies to reduce informal payments in health systems: a systematic review
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Strategies to reduce informal payments in health systems: a systematic review

机译：减少卫生系统非正式付款的策略：系统审查

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Background : Informal payment is a major barrier to universal health coverage, particularly in low and middle-income countries. Aims : The aim of this study was to determine appropriate methods to reduce informal payments in health care via a systematic review. Methods : For this systematic review, we searched the Cochrane Library, PubMed and SCOPUS covering the period 2000–2014: 10 papers which considered reduction strategies for IP were finally included in the review. Three of the authors independently extracted data and assessed the papers against inclusion and exclusion criteria. Results : Improving public awareness and measures towards changing the culture were the main policies to combat informal payment. In addition, providing additional financial support to motivate physicians and other health service providers, appropriate monitoring of legislation, and converting informal to formal payment through tailored new policies were other solutions mentioned towards reducing or removing informal payments. Conclusions : No unique strategy exists for reducing informal payments in any health system. Choosing an appropriate strategy depends on the context and financing structure of the health system in any particular setting.
机译：背景：非正式支付是普遍健康覆盖范围的主要障碍，特别是在低收入和中等收入国家。目的：本研究的目的是通过系统审查确定减少医疗保健中的非正式付款的适当方法。方法：对于这种系统审查，我们搜索了Cochrane图书馆，Pubmed和Scopus涵盖了2000-2014期的时间：10个论文，考虑到IP的减少策略最终审查。其中三位作者独立提取数据并评估纸张以反对包含和排除标准。结果：提高公众意识和改变文化的措施是打击非正式付款的主要政策。此外，为激励医生和其他卫生服务提供者，对立法的适当监测，并通过量身定制的新政策将非正式付款转换为正式付款的其他财务支持是涉及减少或删除非正式付款的其他解决方案。结论：不存在在任何卫生系统中减少非正式付款的独特策略。选择合适的策略取决于卫生系统在任何特定环境中的背景和融资结构。

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