The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
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社区卫生工作者就诊和初级保健补贴对马里城市儿童健康行为和健康结果的影响
DOI：
10.1093/wber/lhad006
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Dean M
中科院分区：
文献类型：
--
作者：
Dean M
在努力实现5岁以下儿童的全民保健方面，有补贴的初级保健和社区保健工作者出诊是重要的需求方政策。关于这些政策之间相互作用的因果证据仍然很少。本文报告了在巴马科进行的一项随机对照试验中，交叉随机CHW访视和获得免费卫生保健对1，649名儿童腹泻预防、治疗护理、发病率以及人体测量学的影响。社区卫生保健的访问改善了预防工作，补贴增加了对急性病的治疗，有一些迹象表明，这是积极的相互作用。没有证据表明存在道德风险，例如接受补贴的家庭预防保健减少。虽然营养不良没有显著改善，但在接受补贴和社区卫生福利的群体中，腹泻发病率降低了70%以上。积极影响集中在2岁以下儿童。
Subsidized primary care and community health worker (CHW) visits are important demand-side policies in the effort to achieve universal health care for children aged under 5. Causal evidence on the interaction between these policies is still sparse. This paper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1,649 children from a randomized controlled trial in Bamako that cross-randomized CHW visits and access to free health care. CHW visits improve prevention and subsidies increase the use of curative care for acute illness, with some indication of positive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among families receiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reduced by over 70 percent in the group that receives both subsidies and CHWs. Positive effects are concentrated among children under age 2.
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影响因子：
4.5
作者：
Gilmore B;McAuliffe E
通讯作者：
McAuliffe E
影响因子：
4.5
作者：
Scott K;Beckham SW;Gross M;Pariyo G;Rao KD;Cometto G;Perry HB
通讯作者：
Perry HB
便利的成本？
DOI：
10.3368/jhr.52.4.0815-7350r1
发表时间：
2017
期刊：
The Journal of Human Resources
影响因子：
--
作者：
Simone Schaner
通讯作者：
Simone Schaner
非洲普及：46 个非洲国家如何改革使用费并实施医疗保健优先事项
DOI：
--
发表时间：
2018
期刊：
影响因子：
--
作者：
D. Cotlear;Nicolas Rosemberg
通讯作者：
Nicolas Rosemberg
社区卫生工作者与疟疾的独立或综合病例管理：系统文献综述
影响因子：
3.3
作者：
L. Paintain;B. Willey;Sarah V. Kedenge;Alyssa B. Sharkey;Julia C. Kim;V. Buj;J. Webster;D. Schellenberg;Ngashi Ngongo
通讯作者：
Ngashi Ngongo