Stewardship and health systems strengthening: An overview
Stewardship and health systems strengthening: An overview
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DOI：
10.1002/pad.1846
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发表时间：
2019-02-01
影响因子：
2.5
通讯作者：
Williamson, Taylor
中科院分区：
文献类型：
--
作者：
Brinkerhoff, Derick W.;Cross, Harry E.;Williamson, Taylor
世界卫生组织(世卫组织)引入了管理的概念，以澄清卫生部门治理的实际组成部分。对世卫组织来说，管理的重点是政府行为者如何对卫生系统和人民的福祉负责，履行卫生系统职能，确保公平，并协调与政府和社会的互动。这篇文章概述了这一特刊的内容，它提供了不同国家的卫生管理人员如何处理卫生安全、初级保健扩大、计划生育和护理质量问题的例子。投稿人的文章为政策、计划和管理提供了经验教训，对从业者和学者有用。我们的概览确定了这些条款中出现的几个主题：有效管理的法律框架的基础作用；体制安排作为促进者的重要性；区域和全球实体对国家管理的影响；可信的决策结构与管理之间的联系；以及可持续筹资和国内资源调动的途径。讨论最后强调了与卫生管理有关的知识和实践中的几个差距。
The World Health Organization (WHO) introduced the concept of stewardship to clarify the practical components of governance in the health sector. For the WHO, stewardship concentrated on how government actors take responsibility for the health system and the wellbeing of the population, fulfill health system functions, assure equity, and coordinate interaction with government and society. This article overviews the contents of this special issue, which offers examples of how health stewards in a variety of countries have addressed issues of health security, primary care expansion, family planning, and quality of care. The contributors' articles draw lessons for policy, programs, and management useful for practitioners and scholars. Our overview identifies several themes emerging from the articles: the foundational role of legal frameworks for effective stewardship, the importance of institutional arrangements as enablers, the influence of regional and global entities on national stewardship, the connection between credible decision-making structures and stewardship, and pathways to sustainable financing and domestic resource mobilization. The discussion concludes with highlighting several gaps in knowledge and practice related to health stewardship.