过渡到全民医疗覆盖的政治和经济方面
William D Savedoff1, David de Ferranti, Amy L Smith
1Center for Global Development, Washington, DC 20036, USA. wsavedoff @cgdev.org
Lancet (London, England)
|September 11, 2012
概括
实现全民医疗覆盖需要政治意愿,增加医疗支出和更多的共同融资. 这三个要素是扩大医疗保健准入和所有公民平等的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 全民健康覆盖 (UHC) 是全球卫生优先事项.
- 各国采用不同的策略来实现UHC.
- 了解共同的路径对于政策制定至关重要.
研究的目的:
- 在已经实现UHC的国家中识别共同的模式.
- 分析经济,人口,技术,政治和金融因素在UHC中的相互作用.
- 为扩大医疗保健获取和公平的战略提供信息.
主要方法:
- 在成功的UHC轨迹中分析共同特征.
- 考察政治进程和社会力量的作用.
- 评估收入增长,卫生支出和融资机制的影响.
主要成果:
- 成功的UHC涉及政治行动,扩大获取和共同风险.
- 经济增长和医疗支出增加一直被观察到.
- 对于UHC来说,更高比例的综合医疗支出,而不是出口袋,是必不可少的.
结论:
- 综合医疗支出,无论是通过税收还是强制性保险,都是UHC的必要条件.
- 政治意愿,经济发展和金融改革的融合推动了UHC.
- 来自不同国家经验的教训可以指导未来的UHC努力.
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