填补差距:在全民健康覆盖的背景下制定有效覆盖非传染性疾病服务的指标

M. Aidalina
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摘要

背景:用于监测非传染性疾病有效服务覆盖进展的全民健康覆盖(UHC)指标仍然缺乏。本文旨在证明在全民健康覆盖的背景下,将质量绩效指标(QPIs)作为非传染性疾病有效服务覆盖指标的可能性。材料与方法:通过回顾2012 - 2015年关于全民健康覆盖框架和指标的主要文献,编制服务覆盖指标标准和有效覆盖指标标准。两个qpi:一个是关于乳腺癌的,一个是关于急性心肌梗死的,从著名的来源选择作为例子,并分析了它们的指标标准的实现情况。结果:调查结果表明,选定的质量指标指标能够满足衡量全民健康覆盖的有效服务覆盖部分的指标标准。结论:建议考虑采用合适的质量指标作为全民健康覆盖监测非传染性疾病的指标。关键词:质量绩效指标;有效服务覆盖率;全民健康覆盖
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FILLING THE GAP: DEVELOPING INDICATORS FOR EFFECTIVE SERVICE COVERAGE OF NONCOMMUNICABLE DISEASES IN THE CONTEXT OF UNIVERSAL HEALTH COVERAGE
Background: Universal health coverage (UHC) indicators for monitoring the progress of effective service coverage for non-communicable diseases (NCDs) are still lacking. This paper aims to prove the possibility of adapting Quality Performance Indicators (QPIs) as indicators for effective service coverage of NCDs in the context of UHC. Materials and Methods: By reviewing major literatures on UHC framework and indicators between the years 2012 and 2015, service coverage indicators criteria and effective coverage indicator criteria were compiled. Two QPIs: one on breast cancer and one on acute myocardial infarction from renowned sources were selected as examples and their fulfilment of the indicator criteria was analysed. Result: The findings demonstrated that the selected QPIs were able to fulfil the criteria for indicators to measure effective service coverage component of Universal Health Coverage. Conclusion: It is proposed that suitable QPIs be considered to be adapted as indicators for UHC monitoring for non-communicable diseases. Keywords: Quality performance indicators, effective service coverage, universal health coverage.
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