研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

提高医疗保健效率:智利成功卫生政策的经验教训。

Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile.

发表日期:2024 Oct 16
作者: Manuel A Espinoza, Paula Zamorano, Carlos Zuñiga-San Martin, Carla Taramasco, Felipe Martinez, Sergio Becerra, Maria Jose Letelier, Nicolas Armijo
来源: ARCHIVES OF MEDICAL RESEARCH

摘要:

近几十年来,智利在实施提高卫生系统效率的政策方面取得了重大进展,对人口健康产生了影响。介绍五个成功政策的案例研究,其影响已被记录。案例研究报告。首先,我们提出一个摘要支持将智利护理模式从基于问题的护理模式转变为以患者为中心的护理模式的政策的证据。其次,我们展示了远程肾脏病学和先进肾脏护理单位如何对智利的慢性肾脏病产生重大影响。智利这项国际公认的成功政策有助于解决造成卫生系统财政负担最重的一个问题。第三,我们提供了有关智利远程肿瘤治疗有效性的最新证据。第四,我们强调智利最近实施的流行病学监测系统,即 EPIVIGILA 系统,该系统对于支持整个大流行期间的决策至关重要。最后,我们强调近几十年来为改善服务和财务保护而实施的健康福利计划。智利已在其卫生系统中成功实施了对效率和人口健康产生影响的政策。以智利的经验为基准,这些经验可以在面临类似挑战的国家复制。版权所有 © 2024 作者。由爱思唯尔公司出版。保留所有权利。
Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health.To present five case studies of successful policies whose impact has been documented.Case study report.First, we present a summary of the evidence supporting the policy that is changing the Chilean care model from a problem-based to a patient-centered care model. Second, we show how tele-nephrology and advanced renal care units have demonstrated significant impact on chronic kidney disease in Chile. This internationally recognized successful Chilean policy is contributing to address one of the conditions that explains the highest financial burden on the health system. Third, we present recent evidence on the effectiveness of teleoncology care in Chile. Fourth, we highlight the most recent system of epidemiological surveillance implemented in Chile, the EPIVIGILA system, which was essential to support decisions throughout the pandemic. Finally, we underline the health benefit plans implemented in recent decades to improve access to services and financial protection.Chile has successfully implemented policies in its health system that have an impact on efficiency and population health. These experiences can be replicated in countries facing similar challenges, using the Chilean experience as a benchmark.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.