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《Health & place》2014
This paper looks at what is lost and gained through the process of translating international policy from a global to a local space. It does this by sharing results from a multisite ethnographic study of gender practices in foreign-funded South African health organisations. This study identifies a number of tactics used by practitioners to deal with the funding constraints and unique knowledge systems that characterise local spaces, including: using policy to appeal to donors; merging gender with better resourced programmes; and redirecting funding allocations. These tactics point to how practitioners are adopting, manipulating and transforming international policies in order to suit their everyday working realities. 相似文献
103.
《International journal of hygiene and environmental health》2014,217(2-3):155-159
Systematic reviews are a cornerstone of evidence-based public health, and there is much discussion on how this method may need to be modified to do justice to complex interventions, such as environmental health interventions. This paper asserts that intervention effectiveness is influenced by variability in five distinct layers – direct (intrinsic) impact, user compliance, delivery, programming and policy measures – which are embedded in the broader geographical, socio-economic, political and cultural context. The multi-component, multi-sectoral nature of most environmental health interventions results in a complex relationship between these layers of influence, involving systemic interactions. As illustrated with examples, understanding environmental health interventions critically relies on considering all of these layers. These distinct layers of influence can serve as a framework towards the comprehensive analysis of environmental health interventions in systematic reviews, drawing on quantitative and qualitative methods and a variety of disciplines. 相似文献
104.
2004-2013年,中共中央连续发布了10个指导农业农村工作的"一号文件",涉及农业农村改革发展的各个方面,对农村卫生事业也做出了总体规划,提出很多新论断新部署。结合深化医药卫生体制改革的新要求和我国农村卫生事业发展中的突出问题,提出了进一步发展农村卫生事业的政策建议。 相似文献
105.
目的为推广二类疫苗纳入社会医疗保险支付范围的卫生策略提供决策信息。方法综合运用问卷调查、专题访谈、专家咨询、基金风险测算等方法,研究深圳市二类疫苗纳入社会医疗保险支付范围的具体可操作政策。结果90%的社区居民认为将二类疫苗纳入社会医疗保险支付有必要;医务人员对社保支付二类疫苗基本持支持态度;二类疫苗纳入社保支付具有显著的经济效益;二类疫苗纳入社保支付的基金风险具有可控性。结论二类疫苗有必要纳入深圳市社会医疗保险支付,但在实施和技术操作方面仍然存一定的局限和挑战。 相似文献
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Objective
To analyse the impact of deregulation in community pharmacy on accessibility of medicines, quality of pharmacy services and costs.Methods
We analysed and compared community pharmacy systems in five rather deregulated countries (England, Ireland, the Netherlands, Norway, Sweden) and four rather regulated countries (Austria, Denmark, Finland, Spain). Data were collected by literature review, a questionnaire survey and interviews.Results
Following a deregulation, several new pharmacies and dispensaries of Over-the-Counter (OTC) medicines tended to be established, predominantly in urban areas. Unless prevented by regulation, specific stakeholders, e.g. wholesalers, were seen to gain market dominance which limited envisaged competition. There were indications for an increased workload for pharmacists in some deregulated countries. Economic pressure to increase the pharmacy turnover through the sale of OTC medicines and non-pharmaceuticals was observed in deregulated and regulated countries. Prices of OTC medicines were not found to decrease after a deregulation in pharmacy.Conclusions
Access to pharmacies usually increases after a deregulation but this is likely to favour urban populations with already good accessibility. Policy-makers are recommended to take action to ensure equitable accessibility and sustainable competition in a more deregulated environment. No association between pharmaceutical expenditure and the extent of regulation/deregulation appears to exist. 相似文献110.
John P. Ansah Robert L. Eberlein Sean R. Love Mary Ann Bautista James P. Thompson Rahul Malhotra David B. Matchar 《Health policy (Amsterdam, Netherlands)》2014