What can be done about the private health sector in low-income countries?
What can be done about the private health sector in low-income countries?
复制标题
低收入国家的私营卫生部门可以做些什么？
DOI：
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复制
发表时间：
2002
期刊：
影响因子：
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通讯作者：
B. McPake
中科院分区：
文献类型：
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作者：
A. Mills;R. Brugha;K. Hanson;B. McPake
在低收入国家，私营保健部门非常庞大。它由各种各样的提供者组成，被广泛的人口阶层所使用。人们对所提供的护理质量存在很大担忧，尤其是在提供者范围内较非正式的一端。对于肺结核、疟疾和性传播感染等具有公共卫生重要性的疾病来说，情况尤其如此。如何影响这些国家私营部门的活动，使其有助于实现国家卫生目标？虽然证据基础不好，但有相当多的资料说明哪些干预措施最能成功地直接影响提供者的行为，以及成功的必要条件是什么。然而，很少有证据表明对需求方采取干预措施的有效办法，以及涉及加强政府采购和监管作用的政策。
A very large private health sector exists in low-income countries. It consists of a great variety of providers and is used by a wide cross-section of the population. There are substantial concerns about the quality of care given, especially at the more informal end of the range of providers. This is particularly true for diseases of public health importance such as tuberculosis, malaria, and sexually transmitted infections. How can the activities of the private sector in these countries be influenced so that they help to meet national health objectives? Although the evidence base is not good, there is a fair amount of information on the types of intervention that are most successful in directly influencing the behaviour of providers and on what might be the necessary conditions for success. There is much less evidence, however, of effective approaches to interventions on the demand side and policies that involve strengthening the purchasing and regulatory roles of governments.