High-quality health systems in the Sustainable Development Goals era: time for a revolution.
High-quality health systems in the Sustainable Development Goals era: time for a revolution.
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DOI：
10.1016/s2214-109x(18)30386-3
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发表时间：
2018-11
期刊：
影响因子：
--
通讯作者：
Pate M
中科院分区：
文献类型：
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作者：
Kruk ME;Gage AD;Arsenault C;Jordan K;Leslie HH;Roder-DeWan S;Adeyi O;Barker P;Daelmans B;Doubova SV;English M;García-Elorrio E;Guanais F;Gureje O;Hirschhorn LR;Jiang L;Kelley E;Lemango ET;Liljestrand J;Malata A;Marchant T;Matsoso MP;Meara JG;Mohanan M;Ndiaye Y;Norheim OF;Reddy KS;Rowe AK;Salomon JA;Thapa G;Twum-Danso NAY;Pate M
尽管在过去几十年中，低收入和中等收入国家的卫生成果有所改善，但新的现实即将到来。不断变化的卫生需求、日益增长的公众期望以及雄心勃勃的新卫生目标，正在提高卫生系统产生更好的卫生成果和更大社会价值的门槛。但停留在目前的轨道上不足以满足这些需求。我们需要的是高质量的卫生系统，通过始终如一地提供改善或维持健康的护理，得到所有人的重视和信任，并通过应对不断变化的人口需求，在每一个特定的背景下优化卫生保健。质量不应是精英阶层的权限或对遥远未来的期望;它应是所有卫生系统的DNA。此外，没有高质量的保健服务，健康人权就毫无意义，因为没有这种服务，卫生系统就无法改善健康状况。
Although health outcomes have improved in low-income and middle-income countries (LMICs) in the past several decades, a new reality is at hand. Changing health needs, growing public expectations, and ambitious new health goals are raising the bar for health systems to produce better health outcomes and greater social value. But staying on current trajectory will not suffice to meet these demands. What is needed are high-quality health systems that optimise health care in each given context by consistently delivering care that improves or maintains health, by being valued and trusted by all people, and by responding to changing population needs. Quality should not be the purview of the elite or an aspiration for some distant future; it should be the DNA of all health systems. Furthermore, the human right to health is meaningless without good quality care because health systems cannot improve health without it.