Sustainability of health care: a framework for analysis
Sustainability of health care: a framework for analysis
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DOI：
10.1093/heapol/13.3.287
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发表时间：
1998-09-01
影响因子：
3.2
通讯作者：
Olsen, IT
中科院分区：
文献类型：
--
作者：
Olsen, IT
本文介绍了一个概念框架，可用于研究发展中国家的卫生服务的可持续性。如果一个组织系统能够长期调动和分配足够的资源用于满足个人或公共卫生需求的活动，则认为该保健服务是可持续的。该框架包括三组：（1）背景因素，概述服务的任务和一般环境;（2）活动概况，说明提供的服务和为提供服务而开展的活动;（3）组织能力，体现了组织的承载能力在这个框架中，卫生保健的提供被视为一个开放的系统模型，其中五个主要因素决定了投入如何转化为产出，通过反馈回路将它们连接起来。这些因素是目标、技术、结构、文化和流程。事实证明，该框架对于分析对可持续发展至关重要的因素以及描述基本公共服务和私人非营利服务的结构和流程非常有用。它还应该在更复杂的系统中进行测试，例如国家医疗保健。
This paper introduces a conceptual framework which can be used to study the sustainability of health services in developing countries. A health service is considered sustainable when operated by an organizational system with the long-term ability to mobilize and allocate sufficient resources for activities that meet individual or public health needs. The framework includes three clusters: (1) contextual factors, which outline the task and general environment of the services; (2) an activity profile, which describes the services delivered and the activities carried out to deliver them; and (3) organizational capacity, which shows the carrying ability (capability) of the organization in broad terms.In this framework, health care provision is seen as an open system model where five main factors determine how inputs are converted to outputs, linking them through feedback loops. These factors are aims, technology, structure, culture and process.The framework has proven useful in analyzing factors critical to sustainability, and in describing structures and processes both in basic public services and in private not-for-profit services. It should also be tested on more complex systems, such as national health care.