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首页> 外文期刊>Scandinavian journal of public health >Enhancing public health outcomes in developing countries: from good policies and best practices to better implementation
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Enhancing public health outcomes in developing countries: from good policies and best practices to better implementation

机译：加强发展中国家的公共卫生结果：从良好的政策和最佳实践中更好地实施

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In rich and poor countries alike, a core challenge is building the state's capability for policy implementation. Delivering high-quality public health and health careaffordably, reliably and at scale, for allexemplifies this challenge, since doing so requires deftly integrating refined technical skills (surgery), broad logistics management (supply chains, facilities maintenance), adaptive problem solving (curative care), and resolving ideological differences (who pays? who provides?), even as the prevailing health problems themselves only become more diverse, complex, and expensive as countries become more prosperous. However, the current state of state capability in developing countries is demonstrably alarming, with the strains and demands only likely to intensify in the coming decades. Prevailing best practice strategies for building implementation capabilitycopying and scaling putative successes from abroadare too often part of the problem, while individual training (capacity building) and technological upgrades (e.g. new management information systems) remain necessary but deeply insufficient. An alternative approach is outlined, one centered on building implementation capability by working iteratively to solve problems nominated and prioritized by local actors.
机译：在富国和贫穷国家相似，核心挑战正在建立国家的政策实施能力。为Allexempries提供高质量的公共卫生和健康，可靠地和规模，因为这样做需要缩小整合精制的技术技能（手术），广泛的物流管理（供应链，设施维护），适应性问题（治疗保健） ），解决思想差异（谁付钱？谁提供？），即使作为普遍的健康问题，仍然变得更加多样化，复杂，而且国家变得更加繁荣。然而，发展中国家的现行国家能力的状态令人惊叹，菌株和需求只有可能在未来几十年中加剧。普遍存在的最佳实践策略，用于建设能力制造和扩大国内外人的推定成功往往是问题的一部分，而个性培训（能力建设）和技术升级（例如新的管理信息系统）仍然是必要的，但深入不足。概述了一种替代方法，其中一个以迭代地工作以解决当地行动者提名和优先考虑的问题，以建立实施能力为中心。

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