The governance behaviours: a proposed approach for the alignment of the public and private sectors for better health outcomes.
The governance behaviours: a proposed approach for the alignment of the public and private sectors for better health outcomes.
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DOI：
10.1136/bmjgh-2023-012528
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发表时间：
2023-12-05
影响因子：
8.1
通讯作者：
Bloom, Gerald
中科院分区：
文献类型：
--
作者：
Clarke, David;Appleford, Gabrielle;Cocozza, Anna;Thabet, Aya;Bloom, Gerald
卫生系统是负责改善、维持或恢复健康的所有公共和私营组织、机构和资源的总和。“在许多卫生系统中，私营部门是卫生保健实践的重要组成部分，提供广泛的卫生产品和服务，在低收入和中等收入国家都有显著增长。世卫组织认为，通过所有卫生利益攸关方的参与和参与，建立更强大和更有效的卫生系统，是进一步减轻疾病负担和实现卫生具体目标和可持续发展目标的途径。然而，当涉及到与私营部门的互动或参与时，存在治理和公共政策差距，因此，一些政府失去了与医疗保健实践的主要领域的联系。因此，是市场力量而不是公共政策决定了私营部门的活动，并对系统绩效产生了后续影响。虽然这个问题描述得很好，但拟议的规范性解决办法很难在国家一级适用，难以将政策意图转化为行动。2020年，世卫组织通过了一份战略报告，该报告主张根据六种治理行为的表现，对私营部门参与的方法进行重大转变。这是一种基于实践的治理方法，并借鉴了Travis等人关于卫生系统管理子功能的早期工作。本文详细阐述了治理行为，并解释了它们作为一种实践方法的应用，以加强政府与私营部门合作实现公共政策目标的能力。
Health systems are ‘the ensemble of all public and private organisations, institutions and resources mandated to improve, maintain or restore health.’ The private sector forms a major part of healthcare practice in many health systems providing a wide range of health goods and services, with significant growth across low-income and middle-income countries. WHO sees building stronger and more effective health systems through the participation and engagement of all health stakeholders as the pathway to further reducing the burden of disease and meeting health targets and the Sustainable Development Goals. However, there are governance and public policy gaps when it comes to interaction or engagement with the private sector, and therefore, some governments have lost contact with a major area of healthcare practice. As a result, market forces rather than public policy shape private sector activities with follow-on effects for system performance. While the problem is well described, proposed normative solutions are difficult to apply at country level to translate policy intentions into action. In 2020, WHO adopted a strategy report which argued for a major shift in approach to engage the private sector based on the performance of six governance behaviours. These are a practice-based approach to governance and draw on earlier work from Travis et al on health system stewardship subfunctions. This paper elaborates on the governance behaviours and explains their application as a practice approach for strengthening the capacity of governments to work with the private sector to achieve public policy goals.
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DOI：
10.1016/s0140-6736(20)32228-5
发表时间：
2021-01-02
期刊：
Lancet (London, England)
影响因子：
--
作者：
Lal A;Erondu NA;Heymann DL;Gitahi G;Yates R
通讯作者：
Yates R
影响因子：
3.3
作者：
David Williams, Owain;Yung, Ka Chun;Grepin, Karen A.
通讯作者：
Grepin, Karen A.
影响因子：
2.5
作者：
Brinkerhoff, Derick W.;Cross, Harry E.;Williamson, Taylor
通讯作者：
Williamson, Taylor
影响因子：
11.1
作者：
Rao, Krishna D.;Petrosyan, Varduhi;McIntyre, Diane
通讯作者：
McIntyre, Diane
影响因子：
9
作者：
Ruef, Franziska;Ejderyan, Olivier
通讯作者：
Ejderyan, Olivier