A health system assessment approach to analysis of political parties' health proposals, Portugal.

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-11-01 Epub Date: 2024-08-20 DOI:10.2471/BLT.24.291831
Sara Machado, Ana Moura, Francisca Vargas Lopes, Diogo Marques, Luis Sa
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Abstract

Problem: Comparing health policy measures before elections and identifying potential gaps in the health policy debate can be challenging.

Approach: We explored the use of the Health System Performance Assessment for Universal Health Coverage framework to analyse health policy proposals by classifying health policy measures outlined in political manifestos into four health system functions: governance, financing, resource generation and service delivery. As a case study, we analysed the political manifestos of all Portuguese parties with parliamentary representation ahead of the election in March 2024. We calculated the share of measures per health system function for individual political manifestos and identified potential gaps in the health policy debate. When required, we used additional classification criteria and local expertise on political and institutional knowledge.

Local setting: A snap general election was announced in Portugal in November 2023, following an alleged corruption scandal, and political parties began publishing their manifestos on their websites in January 2024.

Relevant changes: We identified and classified 350 health-related measures across the four functions: governance, 29.7% (104 measures); financing, 16.9% (59 measures); resource generation, 33.4% (117 measures); and service delivery, 20.0% (70 measures). These findings enabled characterization of the priorities of parties, facilitated cross-party comparisons and identified missing topics in the political debate.

Lessons learnt: We show that the framework can be adapted to analyse political manifestos, providing a systematic method for comparing and synthesizing health policy proposals. We further demonstrate the potential for extending the framework's applicability beyond health system performance assessment, opening new avenues for policy analysis.

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以卫生系统评估方法分析各政党的卫生提案,葡萄牙。
问题:在选举前比较卫生政策措施并找出卫生政策辩论中的潜在差距可能具有挑战性:方法:我们探讨了如何利用 "全民健康覆盖卫生系统绩效评估 "框架来分析卫生政策提案,将政治宣言中概述的卫生政策措施分为四个卫生系统功能:治理、筹资、资源生成和服务提供。作为一项案例研究,我们分析了葡萄牙所有具有议会席位的政党在 2024 年 3 月大选前的政治宣言。我们计算了各个政治宣言中每项卫生系统功能的措施份额,并找出了卫生政策辩论中的潜在差距。必要时,我们使用了额外的分类标准以及当地的政治和机构知识专长:当地环境:在涉嫌腐败丑闻之后,葡萄牙于 2023 年 11 月宣布举行临时大选,各政党于 2024 年 1 月开始在其网站上发布宣言:我们确定并分类了 350 项与卫生相关的措施,涉及四项职能:治理,29.7%(104 项措施);筹资,16.9%(59 项措施);创造资源,33.4%(117 项措施);提供服务,20.0%(70 项措施)。这些发现有助于确定各政党的优先事项,促进跨党派比较,并确定政治辩论中缺失的主题:我们表明,该框架可用于分析政治宣言,为比较和综合卫生政策建议提供了一种系统方法。我们进一步展示了将该框架的适用性扩展到卫生系统绩效评估之外的潜力,为政策分析开辟了新的途径。
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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
期刊最新文献
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