The role of oversight in the health sector: The example of sexual and reproductive health services in India
The role of oversight in the health sector: The example of sexual and reproductive health services in India
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DOI：
10.1016/s0968-8080(02)00077-0
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发表时间：
2002-11-01
影响因子：
--
通讯作者：
Peters, DH
中科院分区：
文献类型：
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作者：
Peters, DH
本文以印度性健康和生殖健康服务为例，考察了监督在影响卫生部门方面的作用。政府可以利用监督工具来影响公共和私营部门提供医疗保健的方式，而不是简单地试图通过传统的官僚机制提供服务。描述了三项主要的监督职能：了解卫生系统的绩效，决定何时干预卫生系统，以及制定战略和实施变革。政府还需要理解决策的伦理基础。描述了通过制定政策、披露和告知、监管、合作以及从战略上补贴和签约性健康和生殖健康服务来管理监督的潜力。这一方法意味着与卫生部门比通常情况下更广泛的利益攸关方接触。除了管理公共方案之外，它还要求公职人员具备一套技能，并依赖于其他利益攸关方和普通公众发挥更大的作用。当适用于生殖和性健康时，全面监督职能的实施为提供更有效、更公平、更负责和负担得起的服务提供了新的机会。(C)2002年生殖健康问题。爱思唯尔科学有限公司出版。版权所有。
This paper examines the role of oversight in influencing the health sector, using examples from sexual and reproductive health services in India. Rather than simply trying to provide services through traditional bureaucratic mechanisms, governments can make use of oversight tools to influence how health care is delivered through the public and private sectors. Three main oversight functions are described: understanding health system performance, deciding when to intervene in the health system and strategizing and implementing change. Governments also need to understand the ethical basis for decisions. The potential for administering oversight through policy-making, disclosing and informing, regulating, collaborating, and strategically subsidising and contracting services in sexual and reproductive health is described. This approach implies an engagement with a broader set of stakeholders in the health sector than is often the case. It requires a set of skills for public officials beyond managing public programmes, and relies on a larger role for other stakeholders and the general public. When applied to reproductive and sexual health, implementation of the full range of oversight functions offers new opportunities to provide more effective, equitable, accountable and affordable services. (C) 2002 Reproductive Health Matters. Published by Elsevier Science Ltd. All rights reserved.