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首页> 外文期刊>Journal of health management >Health Sector Reforms in Orissa: The Disconnecting Paths
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Health Sector Reforms in Orissa: The Disconnecting Paths

机译：奥里萨邦卫生部门改革：断开线路

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摘要

Any health sector reform aims at improving the health status of the people by affecting the organisational structure, governance system and financing variables. The health system has to perform a number of functions in order to enable more people to avail health benefits. In this context this analyses health sector reforms, approaches and challenges faced in Orissa during the reform process. The reform effort has not made substantial improvement in rural health indicators as indicated by NFHS-III. Most of the organisational and institutional changes were introduced as a part of a donor support programme and this has not been integrated into the system. Thus the health system did not improve on a sustained basis in order to achieve health sector goals. As a part of public financing, the state has not allocated resources as per the policy stance. The fiscal crisis has also resulted in reducing share of state expenditure towards health. There was also a substantially low allocation for inputs and infrastructure which affected the service delivery in rural areas. So equity and efficiency have remained two concerns in future health sector development of the state.
机译：任何卫生部门改革都旨在通过影响组织结构，治理系统和融资变量来改善人民的健康状况。健康系统必须执行许多职能，以使更多人能够利用健康福利。在这种情况下，这分析了在改革过程中orissa面临的卫生部门改革，方法和挑战。改革努力在NFHS-III所表明的情况下，农村健康指标并未大幅提高。大多数组织和体制变更都被引入捐助者支持计划的一部分，这尚未纳入系统。因此，卫生系统并未以持续的方式提高，以实现卫生部门的目标。作为公共融资的一部分，国家尚未根据政策立场分配资源。财政危机还导致国家对健康支出的份额减少。对农村服务交付影响的投入和基础设施也有大幅低廉的分配。因此，股权和效率对该州未来的卫生部门发展仍然存在两个问题。

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