Abstract：
OBJECTIVES:The objective of this study was to present a qualitative 'situation analysis' of the healthcare system in Tunisia, as it applies to management of cardiovascular disease (CVD) and diabetes. A primary concern was the institutional capacity to manage non-communicable diseases (NCDs). METHODS:Research took place during 2010 (analysis of official documents, semi-structured interviews with key informants, and case studies in four clinics). Walt and Gilson's framework (1994) for policy analysis was used: content, actors, context, and process. RESULTS:Problems of integration and coordination have compounded funding pressures. Despite its importance in Tunisian healthcare, primary health is ill-equipped to manage NCDs. With limited funds, and no referral or health information system, staff morale in the public sector was low. Private healthcare has been the main development filling the void. CONCLUSION:This study highlights major gaps in the implementation of a comprehensive approach to NCDs, which is an urgent task across the region. In strategic planning, research on the health system is vital; but the capacity within Ministries of Health to use research has first to be built, with a commitment to grounding policy change in evidence.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Ben Romdhane H,Tlili F,Skhiri A,Zaman S,Phillimore Pdoi
10.1007/s00038-014-0616-0subject
Has Abstractpub_date
2015-01-01 00:00:00pages
S39-46eissn
1661-8556issn
1661-8564journal_volume
60 Suppl 1pub_type
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journal_title：International journal of public health
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journal_title：International journal of public health
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更新日期：2014-12-01 00:00:00
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更新日期：2014-02-01 00:00:00
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更新日期：2017-12-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2013-10-01 00:00:00
abstract：:The authors would like to correct an error in the publication of the original article. The error is described below and correct details provided. What is presented in the lines 23, 29, 38 , and in table 4 is the corrected version. ...
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pub_type： 已发布勘误
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更新日期：2012-06-01 00:00:00
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更新日期：2012-08-01 00:00:00
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更新日期：2014-08-01 00:00:00
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更新日期：2013-12-01 00:00:00
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更新日期：2009-01-01 00:00:00
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更新日期：2014-12-01 00:00:00
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更新日期：2009-01-01 00:00:00
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