普遍的な健康保険への移行: 11カ国の調査から得られた教訓
Michael R Reich1, Joseph Harris2, Naoki Ikegami3
1Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Lancet (London, England)
|August 25, 2015
まとめ
ユニバーサル・ヘルス・カバー (UHC) を達成することは複雑で長期的な目標です. 11か国でのこの研究は,UHCは挑戦的ではあるが,技術的な専門知識と,国家状況に合わせた政治戦略があれば実現可能であることを明らかにしています.
科学分野:
- 世界保健
- 健康政策
- 医療システム研究
背景:
- 多くの国々が普遍的な健康保険 (UHC) を目指しています.
- 世界的なUHCの実施経験の体系的な評価の必要性が増しています.
- 異なる国の状況では,UHCへの様々な経路を理解する必要があります.
研究 の 目的:
- 普遍的な健康保険 (UHC) への移行のプロセスと課題を体系的に分析する.
- 各国のUHC実施における共通の機会と落とし穴を特定する.
- 政策立案者にUHCを実現するための洞察を提供すること.
主な方法:
- 11カ国から参加した2年間の多国間研究プログラムです.
- バングラデシュ,ブラジル,エチオピア,フランス,ガーナ,インドネシア,日本,ペルー,タイ,トルコ,ベトナムの経験の分析.
- 地理的,経済的,歴史的文脈を調査する比較研究.
主要な成果:
- ユニバーサル・ヘルス・カバー (UHC) は,多くの課題と潜在的な落とし穴を伴う複雑なプロセスです.
- UHCの実現には複数の経路があり,その実現可能性が示されています.
- UHCの成功には,技術的知識と政治的洞察力の両方が必要です.
結論:
- ユニバーサル・ヘルス・カバー (UHC) への移行は,長期的な政策のコミットメントです.
- 技術的な解決策は,国民政治経済を扱う実用的な戦略と統合されなければならない.
- UHCは専門知識,政治的意志,および文脈特有のアプローチの組み合わせによって達成可能である.
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