Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering

Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering
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DOI:
10.7196/samj.9284
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发表时间:
2015-06-01
期刊:
SAMJ: South African Medical Journal
影响因子:
--
通讯作者:
Couper, I
Couper, I
中科院分区:
其他
文献类型:
--
作者:
le Roux, K W D P;Couper, I

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初级保健(PHC)的重新设计被视为南非实施国民健康保险的一个重要先导,但初级保健服务的改善并不完善。作者认为,运作良好的农村地区医院作为初级保健服务最有效的中心的作用。地区医院和初级保健诊所的管理需要在农村地区医院一级同时进行,以便将护理和有效的保健提供适当地结合起来。
The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well-functioning rural district hospitals as a hub from which PHC services can be most efficiently. managed has been underestimated, and that the management of district hospitals and PHC clinics need to be co-located at the level of the rural district hospital, to allow for proper integration of care and effective healthcare provision.