将敏捷方法引入加纳医疗体系，提升资源匮乏地区的响应能力与协作效率。
Implementing agile healthcare frame works in the context of low income countries: Proposed Framework and Review
- 基于IT和制造领域的敏捷方法，构建适应低收入地区的医疗框架
- 实现实时决策、社区参与和跨学科协作，改善资源分配与服务效率
- 适合关注基层医疗改革与数字健康落地的政策制定者与实践者
敏捷医疗框架源自信息技术与制造业的方法，为资源匮乏地区带来变革潜力。本研究聚焦加纳，探讨敏捷方法在基础设施不足、人力短缺及知识到实践差距背景下的整合。通过移动健康（mHealth）应用与区级卫生信息管理系统（DHIMS）等数字工具，展现敏捷模式在提升结果与资源配置方面的可扩展性与有效性。政策协同，如加纳国家医疗保险计划（NHIS），对持续实施至关重要。研究发现，敏捷方法能实现实时决策、促进社区参与并推动跨领域协作。本文提出可行策略与系统性创新，将敏捷定位为其他低收入地区实现公平、高质量医疗服务的可复制模型。
原文摘要 · Abstract (English)
Agile healthcare frameworks, derived from methodologies in IT and manufacturing, offer transformative potential for low-income regions. This study explores Agile integration in resource-constrained environments, focusing on Ghana. Key benefits include adaptability, iterative planning, and stakeholder collaboration to address infrastructure gaps, workforce shortages, and the "know-do gap." Digital tools like mobile health (mHealth) applications and the District Health Information Management System (DHIMS) demonstrate Agile scalability and efficacy in improving outcomes and resource allocation. Policy alignment, such as through Ghana's National Health Insurance Scheme (NHIS), is crucial for sustaining these practices. Findings reveal Agile ability to enable real-time decision-making, foster community engagement, and drive interdisciplinary collaboration. This paper provides actionable strategies and systemic innovations, positioning Agile as a scalable model for equitable, high-quality care delivery in other low-income regions.
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