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背景:通过加强卫生人力留用以提高偏远和农村地区卫生人力的可及性,对于人口健康至关重要。然而,此类干预措施有关成本方面的信息往往零散、不全面、甚至缺失。政策措施的成本分析对于政策的选择、规划、实施和评估至关重要,但是由于缺少成本分析的系统方法,为卫生政策制定和决策带来了严峻的挑战。方法:本文提出了提高偏远及农村地区卫生人力可及性政策干预措施的成本分析实施框架,旨在为卫生政策决策者提供帮助。同时,该框架也强调了确定财政的主要来源和财政资金可持续性的重要性。文章对加强边远农村地区卫生人力留用相关政策措施的成本分析进行了文献综述,为此类干预措施的成本分析提供了指导框架,并进一步调查分析了成本分析在整个卫生人力规划与管理中的角色与重要意义。结果:尽管对于人力留用相关政策措施效益的争论得到越来越多的关注,但如何对此类政策措施进行成本分析,目前仍缺乏相关的知识与证据。为了解决这个问题,文章提出了实施成本分析框架的关键要素,并对此进行讨论分析。结论:这些关键要素能够帮助决策者对政策措施有更加深入的了解,明晰与理解财政来源和运行机制,同时确保财政资金的可持续性。
Background: It is vital to the health of populations by strengthening the retention of health workforce to improve access to health workforce in remote and rural areas. However, the costs associated with such interventions are often fragmented, incomplete or even missing. Cost analysis of policy measures is crucial for the selection, planning, implementation and evaluation of policies, but the lack of a systematic approach to cost analysis presents a serious challenge to health policy formulation and decision-making. METHODS: This paper presents a cost-analysis implementation framework for policy interventions to increase access to health workers in remote and rural areas, with the aim of providing health policymakers with assistance. At the same time, the framework also emphasizes the importance of determining the main sources of finance and the sustainability of financial resources. Costs related article retention policies and measures to strengthen the health workforce in remote rural areas, analysis of the literature review, provides a guiding framework for the analysis of the cost of such interventions, and further investigation and analysis of the role of the human cost analysis throughout the planning and management of health And important. Results: Although there has been increasing concern over the controversy over the benefits of policies related to human retention, there is a lack of relevant knowledge and evidence on how to carry out cost analysis on such policies and measures. In order to solve this problem, the article puts forward the key elements of implementing the cost analysis framework, and discusses and analyzes it. Conclusion: These key elements can help policymakers gain a deeper understanding of policy measures, clarify and understand the sources of finance and operational mechanisms, and ensure the sustainability of financial resources.