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COVID-19におけるバラバラな保健システム:世界保健安全保障と普遍的な保健保険の間の不一致を修正する
Arush Lal1, Ngozi A Erondu2, David L Heymann3
1Department of Health Policy, London School of Economics and Political Science, London, UK; Women in Global Health, Washington, DC, USA.
Lancet (London, England)
|December 4, 2020
まとめ
分断された健康管理はCOVID-19危機を悪化させた. グローバル・ヘルス・セキュリティと 普遍的な健康保険の統合は 回復力のある公平な健康システムと パンデミック対策に不可欠です
科学分野:
- 公衆衛生
- 健康政策
- 世界保健
背景:
- COVID-19 パンデミックは,世界的な公衆衛生上の大きなギャップと不平等を明らかにした.
- 分断された健康ガバナンスにより,パンデミック中の効果的な危機緩和が妨げられました.
- 現存する研究では 治理構造がパンデミックへの対応に与える影響を しばしば見落としている.
研究 の 目的:
- 世界的な健康保障と普遍的な健康保険のレンズを通して,COVID-19に対する健康システムの対応を評価する.
- 保健システムにおける様々な投資戦略が パンデミック管理にどのように影響するか分析する.
- 保健システムの強化における優先順位を調整するための教訓を導き出す.
主な方法:
- 3つの医療システム投資モデルの比較分析:グローバル・ヘルスケア・セキュリティー,ユニバーサル・ヘルスケア・カバー,統合
- これらのモデルでCOVID-19の管理における保健システムのパフォーマンスの評価.
- 将来の健康政策とガバナンスに関する勧告のまとめ
主要な成果:
- 世界的な健康保障と普遍的な健康保険への統合投資による保健システムは,より効果的なCOVID-19管理を証明しました.
- 分断されたガバナンスにおける異なる優先順位は,最適でないパンデミック対応につながった.
- この研究では,医療システムのガバナンス改善の鍵となる分野を特定しました.
結論:
- グローバル・ヘルス・セキュリティとユニバーサル・ヘルス・カバーを統合することは,強固なパンデミック対策に不可欠です.
- 推奨事項は,統合,資金調達,回復力,そして持続可能な保健システムの公平性に焦点を当てています.
- 治理,政策,投資の見直しは 将来の健康保障と普遍的なアクセスに不可欠です
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