ICTs and the challenge of health system transition in low and middle-income countries.
ICTs and the challenge of health system transition in low and middle-income countries.
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DOI：
10.1186/s12992-017-0276-y
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发表时间：
2017-08-07
影响因子：
10.8
通讯作者：
Labrique A
中科院分区：
文献类型：
--
作者：
Bloom G;Berdou E;Standing H;Guo Z;Labrique A
这份文件的目的是促进关于政府和其他利益攸关方如何影响信息和通信技术的应用的辩论，以增加获得安全、有效和负担得起的常见病治疗的机会，特别是穷人。首先，它认为卫生部门最好被概念化为“知识经济”。这有助于扩大对保健服务提供的看法，其中包括提供医疗咨询和药物的正式和非正式安排。这在卫生系统多元化、体制安排相对不发达的国家尤为重要。它接着认为，将卫生部门重组为知识经济使我们能够绕过与捐赠者驱动的信通技术干预相关的盲点，并更广泛地考虑推动电子卫生创新的力量。它借鉴了孟加拉国和中国的小型案例研究，以说明正在出现的新型组织和组织之间的新型关系。报告认为，有几个因素阻碍了信通技术创新的大规模快速传播，包括：满足保健服务需求的创新能力有限，在公共和私营行为者与保健和通信部门参与者之间建立新型伙伴关系需要时间，以及缺乏支持性的监管环境。它强调了理解数字健康知识经济的政治经济学以及可能出现的新的监管挑战的必要性。报告的结论是，各国政府将需要发挥更积极的作用，以促进有益的信息和通信技术创新的大规模传播，并确保卫生系统发展的总体格局满足包括穷人在内的人口的需要。
The aim of this paper is to contribute to debates about how governments and other stakeholders can influence the application of ICTs to increase access to safe, effective and affordable treatment of common illnesses, especially by the poor. First, it argues that the health sector is best conceptualized as a ‘knowledge economy’. This supports a broadened view of health service provision that includes formal and informal arrangements for the provision of medical advice and drugs. This is particularly important in countries with a pluralistic health system, with relatively underdeveloped institutional arrangements. It then argues that reframing the health sector as a knowledge economy allows us to circumvent the blind spots associated with donor-driven ICT-interventions and consider more broadly the forces that are driving e-health innovations. It draws on small case studies in Bangladesh and China to illustrate new types of organization and new kinds of relationship between organizations that are emerging. It argues that several factors have impeded the rapid diffusion of ICT innovations at scale including: the limited capacity of innovations to meet health service needs, the time it takes to build new kinds of partnership between public and private actors and participants in the health and communications sectors and the lack of a supportive regulatory environment. It emphasises the need to understand the political economy of the digital health knowledge economy and the new regulatory challenges likely to emerge. It concludes that governments will need to play a more active role to facilitate the diffusion of beneficial ICT innovations at scale and ensure that the overall pattern of health system development meets the needs of the population, including the poor.
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影响因子：
5.4
作者：
Bloom, Gerald;Standing, Hilary;Lloyd, Robert
通讯作者：
Lloyd, Robert
DOI：
10.1177/0038038510369368
发表时间：
2010-08-01
影响因子：
2.9
作者：
Abraham, John
通讯作者：
Abraham, John
影响因子：
10.8
作者：
Bloom G;Henson S;Peters DH
通讯作者：
Peters DH
影响因子：
5.4
作者：
Ebeling, Mary
通讯作者：
Ebeling, Mary
影响因子：
5
作者：
Gillespie, Tarleton
通讯作者：
Gillespie, Tarleton