PDF(Pubmed)
Abstract：
UNASSIGNED: Mobile hospitals play a critical role in serving difficult to access populations. In 2011, they were introduced by the Zambian government to improve access to health care. However, little is known about and/or documented about their use in Zambia, and other similar settings where people rely on them to access critical health care, or have to travel long distances to the nearest health centre.
UNASSIGNED: To understand the use of mobile hospitals in Zambia and share lessons on their implementation that may be useful for similar settings. It describes their design, implementation, and challenges.
UNASSIGNED: The qualitative research employed document review, key informant interviews with 15 respondents, and observation of the operations of the mobile hospitals in the field.
UNASSIGNED: The research finds that while they help to reduce inequities associated with accessing health services, there needs to be careful resource planning and addressing of the major issues in health care such as human resources, infrastructure, and disease prevention before long term use.
UNASSIGNED: The research not only highlights conditions that must be considered for the effective implementation of mobile hospitals, but also the need for engagement of various key stakeholders during agenda setting in order to build trust and buy in, which contribute to smoother implementation.
UNASSIGNED: To understand the use of mobile hospitals in Zambia and share lessons on their implementation that may be useful for similar settings. It describes their design, implementation, and challenges.
UNASSIGNED: The qualitative research employed document review, key informant interviews with 15 respondents, and observation of the operations of the mobile hospitals in the field.
UNASSIGNED: The research finds that while they help to reduce inequities associated with accessing health services, there needs to be careful resource planning and addressing of the major issues in health care such as human resources, infrastructure, and disease prevention before long term use.
UNASSIGNED: The research not only highlights conditions that must be considered for the effective implementation of mobile hospitals, but also the need for engagement of various key stakeholders during agenda setting in order to build trust and buy in, which contribute to smoother implementation.
摘要：
移动医院在服务难以接触的人群方面发挥着关键作用。2011年，赞比亚政府引入了这些措施，以改善获得医疗保健的机会。然而,对它们在赞比亚的使用知之甚少和/或有文献记载，以及其他类似的环境，人们依靠他们来获得关键的医疗保健，或者不得不长途跋涉到最近的医疗中心。
■了解赞比亚移动医院的使用情况，并分享有关其实施的经验教训，这些经验教训可能对类似的设置有用。它描述了他们的设计，实施，和挑战。
■定性研究采用文件审查，对15名受访者的关键线人采访，并观察外地流动医院的运作情况。
■研究发现，虽然它们有助于减少与获得医疗服务相关的不平等现象，需要仔细的资源规划和解决医疗保健中的主要问题，例如人力资源，基础设施,在长期使用之前预防疾病。
■这项研究不仅强调了有效实施流动医院必须考虑的条件，但也需要在议程设定期间让各关键利益攸关方参与，以建立信任和买入，这有助于更顺利地实施。
■了解赞比亚移动医院的使用情况，并分享有关其实施的经验教训，这些经验教训可能对类似的设置有用。它描述了他们的设计，实施，和挑战。
■定性研究采用文件审查，对15名受访者的关键线人采访，并观察外地流动医院的运作情况。
■研究发现，虽然它们有助于减少与获得医疗服务相关的不平等现象，需要仔细的资源规划和解决医疗保健中的主要问题，例如人力资源，基础设施,在长期使用之前预防疾病。
■这项研究不仅强调了有效实施流动医院必须考虑的条件，但也需要在议程设定期间让各关键利益攸关方参与，以建立信任和买入，这有助于更顺利地实施。
