健康のための革新的な資金調達:何が本当に革新的ですか?
Rifat Atun1, Felicia Marie Knaul, Yoko Akachi
1The Business School and Faculty of Medicine, Imperial College London, UK. r.atun@imperial.ac.uk
Lancet (London, England)
|October 30, 2012
まとめ
GAVI,グローバル・ファンド,UNITAIDなどの革新的な資金調達メカニズムにより,世界的な保健資金が改善されています. これらの統合モデルは,低所得国に効率的に資源を供給し,将来の医療資金調達プラットフォームを提供します.
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
- 開発 金融 開発 金融
背景:
- 健康のための開発援助は2000年から2010年にかけて急増したが,経済危機は伝統的なドナーからの資金提供を制限している.
- 世界保健の進歩を維持し,ミレニアム開発目標を達成するには,革新的な資金調達が必要です.
- 新興の非伝染性疾患は,新たな資金調達戦略を必要とします.
研究 の 目的:
- 価値連鎖のアプローチを用いた革新的な医療資金の概念化.
- 大規模で統合された革新的な金融メカニズムを特定し,分析する.
- これらのメカニズムの資源の動員,共有,配分,実施における有効性を評価する.
主な方法:
- 革新的な医療資金調達に適用されたバリューチェーン分析.
- ケーススタディとしてGAVI,グローバル・ファンド,UNITAIDの特定と検討.
- 金融フローの評価と,これらのメカニズム内の組織的統合.
主要な成果:
- 3つの統合メカニズム (GAVI,グローバル・ファンド,UNITAID) が,金融価値チェーン全体で革新をもたらした.
- これらのメカニズムは,主要な病気のために,低,中所得国へ資金を効果的に流す.
- 革新的な資金調達は,従来の援助と比較して控えめなリソースを動員しましたが,組織的な革新が鍵でした.
結論:
- 統合金融メカニズムは,世界的な保健資金調達における重要なイノベーションを表しています.
- これらのモデルは,資源の動員と配分における効率と効果を高めます.
- 学んだ教訓は,世界の保健ニーズのための国際的な革新的な資金調達の将来の発展を導くことができます.
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