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Expert Rev Anti Infect Ther ; 17(2): 75-78, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30626232


This meeting was held from the 30 October to the 1 November 2018 in Almaty, Kazakhstan. The meeting brought together participants from 16 countries of central Asia, Caucasus, eastern Europe and expert speakers from western Europe and India. Participants discussed the analysis and use of data on antimicrobial medicines consumption, country experiences in enforcing legislation for prescription-only access to antibiotics, the role of primary health care (PHC) in tackling antimicrobial resistance (AMR), strategies to improving competencies of practitioners using evidence-based clinical protocols and public engagement in the responsible use of medicines. Moving toward prescription-only access to antibiotics requires that government involve, from the onset, different stakeholders, e.g. public, patients, practitioners, pharmacists and pharmaceutical industry in designing and applying policies that ensure access to antibiotics accompanied by measures that promote responsible use and limit excessive use.

Antibacterianos/administração & dosagem , Farmacorresistência Bacteriana , Acesso aos Serviços de Saúde , Atenção Primária à Saúde/organização & administração , Antibacterianos/farmacologia , Competência Clínica , Medicina Baseada em Evidências , Política de Saúde , Humanos , Cooperação Internacional , Medicamentos sob Prescrição/administração & dosagem
Health Policy ; 116(1): 1-11, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24485914


BACKGROUND: The premise that good governance will ultimately lead to better health outcomes has been central to the proliferation of work in this area over the past decade. OBJECTIVE: To consolidate and align literature on governance by presenting an overview of efforts to define, describe and operationalize the health governance function. METHODS: A targeted review of governance literature. RESULTS: (1) A variety of terms have been assigned to precede health governance definitions. These terms commonly describe governance ideals (e.g. good, democratic) or characteristics of the organization of actors in governance arrangements (e.g. hierarchical, networked). (2) Dimensions of governance are defined from different perspectives and in varied combinations, capturing values, sub-functions and/or outcomes of governance. (3) Tools used to govern remain to be cataloged, however, measures can be aligned according to dimensions of governance or their ability to create specific relationships between actors. DISCUSSION: Resolving the conceptual confusion around health governance requires recognition for the differences in the premise and approaches taken to defining governance, as well as specifying core dimensions and aligning applicable tools. CONCLUSION: Despite a growing literature base, a concerted effort is needed for a more accessible understanding of health governance that is both practical at present and actionable for policy-makers.

Assistência à Saúde/legislação & jurisprudência , Governo , Terminologia como Assunto , Política de Saúde/legislação & jurisprudência , Administração de Serviços de Saúde/legislação & jurisprudência , Humanos