相关实验视频
土耳其的全民医疗覆盖:提高公平性
Rifat Atun1, Sabahattin Aydın, Sarbani Chakraborty
1Imperial College London, London, UK. r.atun@imperial.ac.uk
Lancet (London, England)
|July 2, 2013
概括
土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 土耳其一直在推行卫生系统改革,以实现全民健康覆盖.
- 在卫生融资,获取和结果方面发现了显著的不平等.
- 卫生转型计划 (HTP) 是2003-2013年的一个关键倡议.
研究的目的:
- 分析土耳其卫生转型计划 (HTP) 的驱动因素,设计和实施.
- 确定促使HTP成功实现全民健康覆盖的因素.
- 评估HTP对卫生系统目标和公平性的影响.
主要方法:
- 对土耳其卫生系统改革的回顾性分析.
- 对卫生转型计划 (HTP) 期间 (2003-2013) 的审查.
- 对情境驱动因素,实施策略和结果的分析.
主要成果:
- 高质量技术显著提高了全民医疗覆盖率和公平性.
- 在获得医疗服务方面观察到的改善,特别是在母亲和儿童健康方面.
- 降低死亡率 (母亲,5岁以下,婴儿,新生儿),特别是在弱势群体.
- 整合保险计划成为统一的一般健康保险.
- 对最贫困人口的保险覆盖率从240万 (2003年) 增加到1020万 (2011年).
结论:
- 健康转型计划 (HTP) 在实现全民医疗覆盖和改善土耳其的健康公平方面发挥了重要作用.
- 成功的因素包括经济增长,政治稳定,战略领导力和同时需求/供应方面的改进.
- 在医疗系统目标,包括用户满意度和财务保护的可量化的好处.
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