■全民健康覆盖(UHC)是各国实现可持续发展目标的最重要战略之一。为了实现UHC,政府需要私营部门的参与。
■本研究的目的是确定影响私营部门参与实现全民健康覆盖的因素。
■该研究是利用Arkesy&O\'Malley框架的范围审查。数据收集在MEDLINE进行,WebofSciences,Embase,ProQuest,SID,以及MagIran数据库和GoogleScholar搜索引擎。此外,手动搜索期刊和网站,参考检查,使用特定的关键词进行灰色文献检索。为了管理和筛选研究,使用EndNoteX8软件。由研究小组的两名成员进行数据提取和分析,独立使用内容分析。
■根据结果,纳入588项研究中的43项研究。大多数研究是国际性的(18项研究)。提取的数据分为四大类:挑战,障碍,主持人,目标,以及订婚的原因。在排除和整合已识别的数据后,这些类别按以下方式分类:障碍和挑战,59个项目和13个类别,50个项目和9个类别的主持人,有30个项目的原因,5个类别和目标,24个项目和6个类别。
■利用不同国家的经验,挑战和障碍,主持人,原因,并对目标进行了分析和分类。这项调查可用于发展私营部门的参与和组织的协同作用,以实现决策者和计划者的全民健康覆盖。
主要发现:政府是医疗保健提供的关键,但是私营部门的参与对于全民健康覆盖越来越重要。增加的知识:本文探讨了私营部门在全民健康覆盖中不断演变的作用,分析障碍,挑战,主持人,原因,和参与目标,同时建议进一步探索的领域。全球卫生对政策和行动的影响:私营部门对实现全民健康覆盖的贡献需要全面的政策框架和有针对性的行动,以确保全球公平和可持续的卫生成果。
Universal Health Coverage (UHC) is one of the most important strategies adopted by countries in achieving goals of sustainable development. To achieve UHC, the governments need the engagement of the private sector.
The aim of this study was to identify factors affecting private sector engagement in achieving universal health coverage.
The study is a scoping
review that utilizes Arkesy & O\'Malley frameworks. Data collection was conducted in MEDLINE, Web of Sciences, Embase, ProQuest, SID, and MagIran databases and the Google Scholar search engine. Also, manual searches of journals and websites, reference checks, and grey literature searches were done using specific keywords. To manage and screen the studies, EndNote X8 software was used. Data extraction and analysis was done by two members of the research team, independently and using content analysis.
According to the results, 43 studies out of 588 studies were included. Most of the studies were international (18 studies). Extracted data were divided into four main categories: challenges, barriers, facilitators, goals, and reasons for engagement. After exclusion and integration of identified data, these categories were classified in the following manner: barriers and challenges with 59 items and in 13 categories, facilitators in 50 items and 9 categories, reasons with 30 items, and in 5 categories and goals with 24 items and 6 categories.
Utilizing the experience of different countries, challenges and barriers, facilitators, reasons, and goals were analyzed and classified. This investigation can be used to develop the engagement of the private sector and organizational synergy in achieving UHC by policymakers and planners.
Main findings: Governments are key in healthcare provision, but the private sector’s involvement is increasingly vital for universal health coverage.Added knowledge: This paper explores the evolving role of the private sector in universal health coverage, analysing barriers, challenges, facilitators, reasons, and goals for engagement while suggesting areas for further exploration.Global health impact for policy and action: The private sector’s contributions to achieving Universal Health Coverage necessitate comprehensive policy frameworks and targeted actions to ensure equitable and sustainable health outcomes worldwide.