Decentralization and Regionalization : Redesigning Health Systems for High Quality Maternity Care Comment on "Decentralization and Regionalization of Surgical Care: A Review of Evidence for the Optimal Distribution of Surgical Services in Low- and Middle-Income Countries"

© 2021 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/ licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited..

The question of how to optimally design health systems in low- and middle-income countries (LMICs) for high quality care and survival requires context-specific evidence on which level of the health system is best positioned to deliver services. Given documented poor quality of care for surgical conditions in LMICs, evidence to support intentional health system design is urgently needed. Iverson and colleagues address this very important question. This commentary explores their findings with particular attention to how they apply to maternity care. Though surgical maternity care is a common healthcare need, maternal complications are often unpredictable and require immediate surgical attention in order to avert serious morbidity or mortality. A discussion of decentralization for maternity services must grapple with this tension and differentiate between facilities that can provide emergency surgical care and those that can not.

Errataetall:

CommentOn: Int J Health Policy Manag. 2019 Sep 01;8(9):521-537. - PMID 31657175

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

International journal of health policy and management - 10(2021), 4 vom: 14. März, Seite 215-217

Sprache:

Englisch

Beteiligte Personen:

Roder-DeWan, Sanam [VerfasserIn]

Links:

Volltext

Themen:

Comment
Decentralization
Health System Quality
Journal Article
Maternal Health
Regionalization
Service Delivery Redesign

Anmerkungen:

Date Completed 13.09.2021

Date Revised 23.03.2022

published: Electronic

CommentOn: Int J Health Policy Manag. 2019 Sep 01;8(9):521-537. - PMID 31657175

Citation Status MEDLINE

doi:

10.34172/ijhpm.2020.30

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311886485