2019冠状病毒病背景下的卫生系统改革:概述爱尔兰实现全民医疗目标之旅的经验教训的政策简报。

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sarah Parker, Katharine Schulmann, Carlos Bruen, Sara Burke
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引用次数: 0

摘要

2019冠状病毒病大流行给全球卫生体制改革带来了独特的挑战和机遇。在爱尔兰,这一时期恰逢Sláintecare改革计划的早期阶段,该计划的一个核心目标是建立全民保健。本政策简报综合了在基金会研究规划下开展的13项研究的主要研究成果,以利用大流行应对的主要经验教训促进卫生系统变革。该分析揭示了2019冠状病毒病危机如何加速了爱尔兰的卫生系统改革,打破了渐进式变革的历史,实现了全民医疗保健的快速创新。虽然出现了“新常态”,但在2019冠状病毒病背景下,在不断变化的治理和领导下,将这些快速发展纳入持久的卫生系统改善仍然是一项挑战。确定了对卫生系统研究和政策的三个重大影响:1)政治共识对于持续的卫生系统改革至关重要,特别是在危机期间;2)能够将挑战转化为改革机遇的适应性卫生系统至关重要;3)研究中的合作生产通过使政策与现实世界的复杂性保持一致,提高了政策的可接受性和实施。利用这些流行病驱动的见解将是确保迅速适应和吸取的经验教训转化为爱尔兰卫生系统持久要素的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health system reform in the context of COVID-19: a policy brief outlining lessons from Ireland's journey towards the goal of universal healthcare.

The COVID-19 pandemic has presented unique challenges and opportunities for health system reform globally. In Ireland, this period coincided with the early stages of the Sláintecare reform plan, a core goal of which is to establish universal healthcare. This policy brief synthesises key research findings from 13 studies carried out under the Foundations research programme to harness key learnings from the pandemic response for health system change. The analysis reveals how the COVID-19 crisis accelerated health system reforms in Ireland, breaking from a history of incremental change to implement rapid innovations towards universal healthcare. While a 'new normal' has emerged, the challenge remains to integrate these rapid developments into enduring health system improvements under evolving governance and leadership in the COVID-19 context. Three significant implications for health systems research and policy are identified: 1) Political consensus is essential for sustained health system reform, particularly during crises; 2) Adaptive health systems that can transform challenges into reform opportunities are crucial; and 3) Co-production in research enhances policy acceptability and implementation by aligning it with real-world complexities. Leveraging these pandemic-driven insights will be key to ensuring that the swift adaptations and lessons learned will transition into lasting elements of Ireland's health system.

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来源期刊
Global Health Research and Policy
Global Health Research and Policy Social Sciences-Health (social science)
CiteScore
12.00
自引率
1.10%
发文量
43
审稿时长
5 weeks
期刊介绍: Global Health Research and Policy, an open-access, multidisciplinary journal, publishes research on various aspects of global health, addressing topics like health equity, health systems and policy, social determinants of health, disease burden, population health, and other urgent global health issues. It serves as a forum for high-quality research focused on regional and global health improvement, emphasizing solutions for health equity.
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