全民医疗覆盖的进展是否有助于改善人口健康?
Rodrigo Moreno-Serra1, Peter C Smith
1Business School and Centre for Health Policy, Imperial College London, London, UK.
Lancet (London, England)
|September 11, 2012
概括
扩大全民医疗覆盖范围可以改善人口健康和获得医疗服务的机会,特别是对弱势群体. 需要进一步的研究来最大限度地提高效果,考虑到治理等因素.
科学领域:
- 卫生政策与经济 卫生政策与经济
- 全球健康 全球健康
- 公共卫生 公共卫生
背景情况:
- 全民健康覆盖 (UHC) 被广泛推广,以改善人口健康.
- 迈向UHC的进步包括扩大风险共享和预付机制.
- 经验证据将覆盖范围扩大与健康结果联系起来,需要进行严格的审查.
研究的目的:
- 审查跨国实证证据,以了解医疗覆盖范围的扩大与人口健康结果之间的关系.
- 专注于扩展风险聚合和预付的健康影响,作为UHC进展的指标.
- 确定当前证据库的局限性,并建议未来研究的领域.
主要方法:
- 对跨国经验证据的系统审查.
- 分析有关医疗覆盖,获得医疗服务和人口健康结果的数据.
- 专注于研究风险组合和预付款作为UHC的措施.
主要成果:
- 更广泛的健康覆盖率通常与改善获得必要医疗保健的机会有关.
- 医疗覆盖范围的扩大对人口健康结果产生了积极的影响,特别是对贫困人口.
- 有证据表明,扩展风险组合/预付与更好的健康结果之间存在联系.
结论:
- 通过更广泛的风险共享和提前支付来表明通用医疗覆盖的进展,通常会改善人口健康和获得护理的机会.
- 这些积极影响在贫困人口中尤为明显.
- 数据和方法的局限性需要进一步的研究,以优化扩展健康覆盖的有效性,包括机构质量和治理的作用.
相关概念视频
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
International Nursing Organizations II
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
