関連する実験動画
トルコにおける普遍的な健康保険: 公平性の強化
Rifat Atun1, Sabahattin Aydın, Sarbani Chakraborty
1Imperial College London, London, UK. r.atun@imperial.ac.uk
Lancet (London, England)
|July 2, 2013
まとめ
トルコ トルコ トルコ トルコ
科学分野:
- 保健政策とシステム研究 保健政策とシステム研究
- 公衆衛生は公衆衛生である.
- 健康経済学とは
背景:
- トルコは,公衆衛生の普及を達成するために,医療制度改革を進めている.
- 医療の資金調達,アクセス,成果における重大な不平等が特定されました.
- 健康変革プログラム (HTP) は,2003年から2013年にかけての主要なイニシアチブでした.
研究 の 目的:
- トルコのヘルスケア・トランスフォーメーション・プログラム (HTP) の推進要因,設計,実施を分析する.
- 普遍的な健康保険の実現におけるHTPの成功に貢献する要因を特定する.
- 医療制度の目標と公平性に対するHTPの影響を評価する.
主な方法:
- トルコにおける医療制度改革の遡及的分析.
- ヘルス・トランスフォーメーション・プログラム (HTP) 期間 (2003~2013年) の検討.
- 文脈的な要因,実施戦略,成果の分析.
主要な成果:
- HTPは,普遍的な健康保険と公平性を大幅に強化しました.
- 医療サービスへのアクセス,特に母子保健の改善が観察されました.
- 減少した死亡率 (母,5歳未満,乳児,新生児),特に不利な立場にあるグループ.
- 保険制度を統合し,統一された一般健康保険に統合する.
- 貧困層の保険額を240万人 (2003年) から1020万人 (2011年) に増加させました.
結論:
- ヘルス・トランスフォーメーション・プログラム (HTP) は,トルコで普遍的な健康保険の実現と健康平等の改善に寄与しました.
- 成功要因には,経済成長,政治的安定,戦略的リーダーシップ,並行して需要と供給の改善が含まれる.
- ユーザー満足度や財政的保護を含む,保健システム目標全体の量化可能な利益.
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