インドネシアにおける普遍的な健康保険:概念,進展,課題
Rina Agustina1, Teguh Dartanto2, Ratna Sitompul3
1Department of Nutrition, Faculty of Medicine, Universitas Indonesia - Dr Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Human Nutrition Research Centre, Indonesian Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Lancet (London, England)
|December 24, 2018
まとめ
インドネシア
科学分野:
- 世界保健
- 医療システム研究
- 公衆衛生政策
背景:
- インドネシアの多様な地理と人口は 独特の保健システム課題を提示しています
- 中央化された医療制度は ある程度の成果を上げましたが 不平等を悪化させました
- 医療制度の多様性をさらに高めました
研究 の 目的:
- インドネシアの革新的な"普遍的健康保障 (UHC) "について説明します.
- 2030年までに持続可能な開発目標を達成するためのロードマップの概要
- UHCシステムの成功と課題を分析する.
主な方法:
- インドネシアの保健システムの進化とUHCの実施の見直し
- UHCシステムの成長,カバー,および公平性の分析
- 新たな課題と将来のニーズを特定する.
主要な成果:
- インドネシアのUHC制度は2014年に開始され,世界最大のシングルペイヤー制度で,203百万人を対象としています.
- UHC制度は医療の公平性とサービスへのアクセスを改善しました.
- 課題は"中途半端な"入学グループと幼い子供の低水準です.
結論:
- インドネシアのUHCイニシアチブは,多様性への革新的な適応を示しています.
- 非伝染性疾患に対処し,デジタルヘルスインフラへの投資は不可欠です.
- 2030年の持続可能な開発目標を達成するには明確なロードマップが必要です.
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