医疗融资以促进低收入环境中的医疗接入 - - 我们知道多少?
Natasha Palmer1, Dirk H Mueller, Lucy Gilson
1London School of Hygiene and Tropical Medicine, London, UK. natasha.palmer@lshtm.ac.uk
Lancet (London, England)
|October 12, 2004
概括
用户费用阻碍了低收入国家获得医疗服务的机会. 虽然预付款和有条件的现金转移显示出潜力,但背景问题和更好的研究资金对于基于证据的医疗融资至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 国际发展国际发展
背景情况:
- 卫生融资策略对低收入国家的医疗保健获取和结果产生重大影响.
- 自1995年以来的研究探讨了各种融资模式,包括用户费用,预付款方案和有条件的现金转移.
研究的目的:
- 审查和综合研究不同卫生融资策略对卫生服务利用和结果的影响.
- 确定当前证据库中的空白和局限性.
主要方法:
- 从1995年开始发表的研究的系统审查和综合.
- 分析着重于低收入国家背景的研究.
主要成果:
- 用户费通常会阻碍医疗服务的使用.
- 预付款和保险计划显示出改善准入的潜力,但范围有限.
- 有条件的现金转移可以增加干预的吸收,但可能会产生意想不到的激励.
结论:
- 医疗融资策略的有效性高度依赖于环境,如发现的区域差异所示.
- 迫切需要更高质量的研究和更多的前期资金来评估卫生融资举措,以告知政策和实现发展目标.
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