Overcoming health-systems constraints to achieve the Millennium Development Goals
Overcoming health-systems constraints to achieve the Millennium Development Goals
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DOI：
10.1016/s0140-6736(04)16987-0
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发表时间：
2004-09-04
期刊：
影响因子：
168.9
通讯作者：
Evans, T
中科院分区：
文献类型：
--
作者：
Travis, P;Bennett, S;Evans, T
对于低收入国家的许多优先健康问题，存在有效的干预措施；价格在下降，资金在增加。然而，实现商定的健康目标的进展仍然缓慢。人们越来越认识到，更强大的卫生系统是实现改善健康结果的关键。关于如何加强它们的共识要少得多。部分挑战是将现有的和新兴的关于更多（和更少）有效策略的知识付诸实践。证据基础也仍然非常薄弱，部分原因是卫生系统研究存在形象问题。即将召开的卫生研究部长级峰会旨在帮助确定卫生系统的学习议程，以便到 2015 年，在减少实现千年发展目标的系统限制方面取得实质性进展。
Effective interventions exist for many priority health problems in low income countries; prices are falling, and funds are increasing. However, progress towards agreed health goals remains slow. There is increasing consensus that stronger health systems are key to achieving improved health outcomes. There is much less agreement on quite how to strengthen them. Part of the challenge is to get existing and emerging knowledge about more (and less) effective strategies into practice. The evidence base also remains remarkably weak, partly because health-systems research has an image problem. The forthcoming Ministerial Summit on Health Research seeks to help define a learning agenda for health systems, so that by 2015, substantial progress will have been made to reducing the system constraints to achieving the MDGs.