健康関連サービスの貿易
Richard D Smith1, Rupa Chanda, Viroj Tangcharoensathien
1Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK. Richard.Smith@lshtm.ac.uk
Lancet (London, England)
|January 27, 2009
まとめ
医療サービスの貿易を理解することは,国内保健システムにとって極めて重要です. この分析は,政策を策定し,機会を最大限に生かすために,4つの配信モードを通じて,保健サービス貿易における世界的な傾向と課題を調査しています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 健康経済学 医療経済学
- 国際貿易政策 国際貿易政策
背景:
- 21世紀の医療システムは,貿易が政策と実施に与える影響を理解する必要があります.
- 医療サービス貿易に関する比較データ収集には課題があります.
- 貿易交渉では,しばしば医療従事者が除外され,効果的な政策を阻害する.
研究 の 目的:
- グローバルな保健サービス提供における現在の傾向と発展を分析する.
- 医療サービスの貿易が国内保健システムに及ぼす影響を調査する.
- 国際保健サービス貿易に関連するリスクと機会を特定する.
主な方法:
- 世界貿易機関 (WTO) のサービス貿易に関する一般協定の分類を用いた.
- 医療サービスの提供の4つのモードを分析した:国境を越えた供給,海外での消費,外国直接投資,医療従事者の移動.
- 各配送方式の貿易規模,パターン,主要貢献者,および発生する問題を検討した.
主要な成果:
- 4つの配達モードの全域で,世界の保健サービス貿易の現状を詳細に説明しました.
- 国際保健サービス貿易に貢献する主要なプレーヤーとパターンを特定しました.
- 世界保健サービス市場に影響を与える重要な問題と課題を強調した.
結論:
- 国内保健システムの効果的な監督には,保健サービスの世界的な貿易に関する包括的な理解が必要です.
- データの制限に対処し,医療専門家を貿易交渉に巻き込むことは不可欠です.
- 医療サービスの貿易との戦略的関与は,リスクを軽減し,システムの回復力を高めることができます.
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