National implementation of Integrated Management of Childhood Illness (IMCI): Policy constraints and strategies

被引：52
|
作者：
Ahmed, Haitham M. [1 ,2 ]
Mitchell, Marc [2 ,3 ]
Hedt, Bethany [2 ,3 ]
机构：
[1] Dartmouth Med Sch, Lebanon, NH 03766 USA
[2] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[3] D Tree Int, Boston, MA 02115 USA
来源：
HEALTH POLICY | 2010年 / 96卷 / 02期
关键词：
Clinical protocols; Pediatrics; Health plan implementation; Health care systems; QUALITY-OF-CARE; HEALTH-WORKERS; COST; BANGLADESH; FACILITIES; CHILDREN; IMPACT; LEVEL;
D O I：
10.1016/j.healthpol.2010.01.013
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Integrated Management of Childhood Illness (IMCI) is a pediatric care management strategy that has been shown to improve health care service quality and increase health care cost savings in multi-country evaluations. However, many countries have faced significant training, health system, political, and financial constraints to national implementation and, as a result, have not been able to observe sustained benefits of IMCI. This article reviews the literature for evidence of IMCI health impacts, common implementation constraints, and policy strategies for health system strengthening and successful implementation. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：128 / 133
页数：6
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