拉丁美洲卫生系统改革和全民健康覆盖
Rifat Atun1, Luiz Odorico Monteiro de Andrade2, Gisele Almeida3
1Harvard School of Public Health, Harvard University, Boston, MA, USA.
Lancet (London, England)
|December 3, 2014
概括
拉丁美洲国家实施了卫生系统改革,以实现全民医疗覆盖,重点关注公平与团结. 这些努力扩大了弱势群体的获取和改善了健康结果.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 卫生经济学 卫生经济学
背景情况:
- 拉丁美洲国家在20世纪80年代末启动了社会部门改革,以解决贫困和不平等问题.
- 从20世纪90年代开始,卫生系统改革的具体目标是减少医疗保健获取和结果差异.
- 一种独特的拉丁美洲对全民健康覆盖的方法出现了,强调公平,团结和集体行动.
研究的目的:
- 分析拉丁美洲旨在实现全民医疗覆盖的卫生系统加强倡议.
- 确定拉丁美洲卫生系统改革经验的关键特征和教训.
- 探索这些改革对减少社会经济不平等和改善健康状况的影响.
主要方法:
- 审查政府为医疗系统扩张的融资策略.
- 分析供给侧干预措施,包括保险覆盖和服务提供规模扩大.
- 检查针对贫困和健康的社会决定因素的需求侧干预措施.
主要成果:
- 政府融资促进了保险覆盖范围的扩大和福利包的增强.
- 在巴西和古巴等国家建立了由税收资助的全民健康系统.
- 综合供需侧干预措施改善了弱势群体的获取机会.
结论:
- 拉丁美洲卫生系统改革为全球普及卫生覆盖率的推进提供了宝贵的教训.
- 该地区的方法强调了公平,团结和综合干预的重要性.
- 加强卫生系统对于克服社会不平等和为所有人实现更好的健康至关重要.
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