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| Verfasst von: | Hanson, Kara [VerfasserIn]  |
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| | Brikci, Nouria [VerfasserIn] |
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| | Erlangga, Darius [VerfasserIn] |
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| | Alebachew, Abebe [VerfasserIn] |
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| | De Allegri, Manuela [VerfasserIn] |
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| | Balabanova, Dina [VerfasserIn] |
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| | Blecher, Mark [VerfasserIn] |
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| | Cashin, Cheryl [VerfasserIn] |
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| | Esperato, Alexo [VerfasserIn] |
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| | Hipgrave, David [VerfasserIn] |
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| | Kalisa, Ina [VerfasserIn] |
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| | Kurowski, Christoph [VerfasserIn] |
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| | Meng, Qingyue [VerfasserIn] |
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| | Morgan, David [VerfasserIn] |
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| | Mtei, Gemini [VerfasserIn] |
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| | Nolte, Ellen [VerfasserIn] |
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| | Onoka, Chima [VerfasserIn] |
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| | Powell-Jackson, Timothy [VerfasserIn] |
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| | Roland, Martin [VerfasserIn] |
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| | Sadanandan, Rajeev [VerfasserIn] |
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| | Stenberg, Karin [VerfasserIn] |
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| | Vega Morales, Jeanette [VerfasserIn] |
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| | Wang, Hong [VerfasserIn] |
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| | Wurie, Haja [VerfasserIn] |
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| Titel: | The Lancet Global Health Commission on financing primary health care |
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| Titelzusatz: | putting people at the centre |
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| Verf.angabe: | Kara Hanson, Nouria Brikci, Darius Erlangga, Abebe Alebachew, Manuela De Allegri, Dina Balabanova, Mark Blecher, Cheryl Cashin, Alexo Esperato, David Hipgrave, Ina Kalisa, Christoph Kurowski, Qingyue Meng, David Morgan, Gemini Mtei, Ellen Nolte, Chima Onoka, Timothy Powell-Jackson, Martin Roland, Rajeev Sadanandan, Karin Stenberg, Jeanette Vega Morales, Hong Wang, Haja Wurie |
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| E-Jahr: | 2022 |
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| Jahr: | April 4, 2022 |
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| Umfang: | 58 S. |
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| Fussnoten: | Gesehen am 25.09.2022 |
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| Titel Quelle: | Enthalten in: The lancet <London> / Global health |
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| Ort Quelle: | Oxford : Elsevier, 2013 |
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| Jahr Quelle: | 2022 |
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| Band/Heft Quelle: | 10(2022), 5 vom: Mai, Seite e715-e772 |
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| ISSN Quelle: | 2214-109X |
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| Abstract: | Primary care services are on average of low quality in Nepal. However, there is marked variation in performance of basic clinical and managerial functions between primary health care centers. The determinants of variation in primary care performance in low- and middle-income countries have been understudied relative to the prominence of primary care in national health plans. We used the positive deviance approach to identify best and worst performing primary health care centers in Nepal and investigated perceived drivers of best performance. We selected eight primary health care centers in Province 1, Nepal, using an index of basic clinical and operational activities to identify four best and four worst performing primary health care centers. We conducted semi-structured, in-depth interviews with managers and clinical staff from each of the eight primary health care centers for a total of 32 interviews. We identified the following factors that distinguished best from worst performers: 1) Managing the facility effectively, 2) engaging local leadership, 3) building active community accountability, 4) assessing and responding to facility performance, 5) developing sources of funding, 6) compensating staff fairly, 7) managing clinical staff performance, and 8) promoting uninterrupted availability of supplies and equipment. These findings can be used to inform quality improvement efforts and health system reforms in Nepal and other similarly under-resourced health systems. |
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| DOI: | doi:10.1016/S2214-109X(22)00005-5 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/S2214-109X(22)00005-5 |
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| | Volltext: https://www.sciencedirect.com/science/article/pii/S2214109X22000055 |
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| | DOI: https://doi.org/10.1016/S2214-109X(22)00005-5 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| K10plus-PPN: | 181737107X |
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| Verknüpfungen: | → Zeitschrift |
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¬The¬ Lancet Global Health Commission on financing primary health care / Hanson, Kara [VerfasserIn]; April 4, 2022 (Online-Ressource)
