大流行期间卫生系统的脆弱性和挑战:印度2019年第二波冠状病毒病(COVID-19)的经验教训

Manzoor Ahmad Malik
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引用次数: 18

摘要

由于2019冠状病毒病(COVID-19)大流行的突然爆发,前所未有的医疗保健需求几乎使医疗保健系统崩溃,特别是在发展中国家。鉴于2019冠状病毒病第二波在印度的灾难性爆发,该国的卫生系统几乎处于崩溃的边缘。因此,为了确定导致印度医疗系统在第二波COVID-19大流行期间崩溃的因素和面临的挑战,本文根据世界卫生组织(WHO)的六个组成部分分析了印度医疗系统面临的挑战以及前进的道路。应用综合审查方法,我们发现基础设施差、资金不足、缺乏透明度和医疗管理不善等因素导致了印度医疗保健系统的过度扩张。虽然印度的卫生系统从一开始就面临这些挑战,但应该利用第一波的早期教训,以避免第二波大流行中更深层次的危机。总而言之,鉴于流行病未来可能面临的挑战,印度应优先考虑医疗保健,并提供充足的资金、强有力的能力建设措施以及公私部门的整合。同样,财政刺激、风险评估、数据可用性和人力资源链的建设是缓解该国未来医疗危机的其他关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fragility and challenges of health systems in pandemic: lessons from India's second wave of coronavirus disease 2019 (COVID-19)

The unprecedented healthcare demand due to sudden outbreak of coronavirus disease 2019 (COVID-19) pandemic has almost collapsed the health care systems especially in the developing world. Given the disastrous outbreak of COVID-19 second wave in India, the health system of country was virtually at the brink of collapse. Therefore, to identify the factors that resulted into breakdown and the challenges, Indian healthcare system faced during the second wave of COVID-19 pandemic, this paper analysed the health system challenges in India and the way forward in accordance with the six building blocks of world health organization (WHO). Applying integrated review approach, we found that the factors such as poor infrastructure, inadequate financing, lack of transparency and poor healthcare management resulted into the overstretching of healthcare system in India. Although health system in India faced these challenges from the very beginning, but early lessons from first wave should have been capitalized to avert the much deeper crisis in the second wave of the pandemic. To sum-up given the likely future challenges of pandemic, while healthcare should be prioritized with adequate financing, strong capacity-building measures and integration of public and private sectors in India. Likewise fiscal stimulus, risk assessment, data availability and building of human resources chain are other key factors to be strengthened for mitigating the future healthcare crisis in country.

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来源期刊
Global health journal (Amsterdam, Netherlands)
Global health journal (Amsterdam, Netherlands) Public Health and Health Policy
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