...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Tropical Medicine and International Health: TM and IH >Contracting urban primary healthcare services in Bangladesh - effect on use, efficiency, equity and quality of care
【24h】

Contracting urban primary healthcare services in Bangladesh - effect on use, efficiency, equity and quality of care

机译：孟加拉国城市基本医疗保健服务承包-对使用，效率，公平性和护理质量的影响

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

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

摘要

Objective: To evaluate a large, ongoing effort to improve urban primary health care (PHC) in Bangladesh through expansion of publicly funded urban health facilities and contracting with partner non-governmental organisations (NGOs). Methods: A part of Chittagong was assigned to a contracted NGO while the other parts of the city were contracted to the local government. Performance was assessed by baseline and follow-on household surveys, an endline health facility survey and routinely collected data. Results: The results of a health facility survey indicated that overall quality of care was better in the NGO area, and routinely collected data showed that the NGO provided many more services per capita. Based on household survey data, the NGO area of Chittagong was poorer and had lower coverage at baseline. There were significant improvements in both government and NGO-run areas. However, larger improvements were observed on some coverage indicators in the NGO area compared to the government area. Improvements in coverage among the poorest 50% of the population were greater in the NGO-run area. The cost per service delivered was 47% lower in the NGO area. Conclusions: Investments in urban PHC led to an improvement in the coverage of basic services. Contracting with an NGO had an additional effect in terms of improving coverage, equity, quality of care and efficiency. Increased investments in PHC facilities and contracting with NGOs may be effective in improving urban health services.
机译：目的：评估通过扩大公共资助的城市卫生设施并与合作伙伴非政府组织（NGOs）签约的，正在进行的，旨在改善孟加拉国城市初级卫生保健（PHC）的大型工作。方法：吉大港的一部分分配给了一个签约的非政府组织，而城市的其他部分则签给了当地政府。通过基线和后续家庭调查，最终医疗机构调查以及常规收集的数据来评估绩效。结果：医疗机构的调查结果表明，非政府组织地区的整体护理质量较好，常规收集的数据表明，非政府组织提供的人均服务更多。根据家庭调查数据，吉大港的非政府组织地区较贫穷，基线覆盖率较低。在政府和非政府组织管理的地区都取得了重大进步。但是，与政府区域相比，非政府组织区域的某些覆盖率指标观察到了更大的改善。在非政府组织经营的地区，最贫穷的50％人口的覆盖面改善更大。在NGO区域，每项服务的成本降低了47％。结论：对城市初级卫生保健的投资导致基本服务覆盖面的改善。与非政府组织签约还可以提高覆盖面，公平，护理质量和效率。增加对初级保健设施的投资并与非政府组织签约可能会有效改善城市卫生服务。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 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