贸易与健康相关服务的贸易
Richard D Smith1, Rupa Chanda, Viroj Tangcharoensathien
1Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK. Richard.Smith@lshtm.ac.uk
Lancet (London, England)
|January 27, 2009
概括
了解卫生服务贸易对于国内卫生系统至关重要. 本文分析了卫生服务贸易的全球趋势和挑战,涉及四种交付方式,以告知政策并最大限度地利用机会.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 国际贸易政策 国际贸易政策
背景情况:
- 21世纪的卫生系统需要了解贸易对政策和实施的影响.
- 收集有关卫生服务贸易的比较数据存在挑战.
- 贸易谈判往往将卫生专业人员排除在外,阻碍有效的政策.
研究的目的:
- 分析全球卫生服务提供当前的趋势和发展.
- 检查卫生服务贸易对国内卫生系统的影响.
- 识别与国际卫生服务贸易相关的风险和机会.
主要方法:
- 使用了世界贸易组织关于服务贸易的总协定分类.
- 分析了四种卫生服务提供方式:跨境供应,海外消费,外国直接投资和卫生专业人员的流动.
- 检查了每个交付方式的贸易规模,模式,关键贡献者和产生的问题.
主要成果:
- 详细介绍了全球卫生服务贸易在所有四种交付方式中的现状.
- 确定了对国际卫生服务贸易有贡献的主要参与者和模式.
- 突出了影响全球卫生服务市场的关键问题和挑战.
结论:
- 对国内卫生系统的有效监督需要全面了解全球卫生服务贸易.
- 解决数据限制和让卫生专业人员参与贸易谈判至关重要.
- 与卫生服务贸易的战略参与可以减轻风险,提高系统的弹性.
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