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Uptake of evidence in policy development: the case of user fees for health care in public health facilities in Uganda

机译:在政策制定过程中采用证据:乌干达公共卫生机构的医疗服务使用者费用案例

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摘要

BackgroundSeveral countries in Sub Saharan Africa have abolished user fees for health care but the extent to which such a policy decision is guided by evidence needs further exploration. We explored the barriers and facilitating factors to uptake of evidence in the process of user fee abolition in Uganda and how the context and stakeholders involved shaped the uptake of evidence. This study builds on previous work in Uganda that led to the development of a middle range theory (MRT) outlining the main facilitating factors for knowledge translation (KT). Application of the MRT to the case of abolition of user fees contributes to its refining.
机译:背景撒哈拉以南非洲的几个国家已经废除了医疗保健的使用费,但是这种政策决定在证据指导下达到的程度还需要进一步探索。我们探讨了乌干达取消用户费用过程中采用证据的障碍和促进因素,以及背景和利益相关方如何影响证据的采用。这项研究基于乌干达以前的工作,该工作导致中程理论(MRT)的发展,概述了知识翻译(KT)的主要促进因素。在取消使用费的情况下应用捷运有助于其完善。

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