确保印度所有人的健康覆盖
Vikram Patel1, Rachana Parikh2, Sunil Nandraj2
1London School of Hygiene & Tropical Medicine, London, UK; Public Health Foundation of India, Gurgaon, India.
Lancet (London, England)
|December 25, 2015
概括
印度需要彻底重组医疗保健体系, 一个强大的公共初级保健,与私营和本土部门整合,对于减少差距和自付费用至关重要.
科学领域:
- 公共卫生
- 卫生政策
- 医疗保健系统研究
背景情况:
- 尽管政府承诺改善医疗保健, 但印度仍面临严重的健康差异和高疾病负担.
- 高昂的自付费用和低质量的医疗服务导致了大量人口的贫困和不良健康结果.
- 印度现有的健康指标落后于同等中等收入国家和地区邻国.
研究的目的:
- 倡导从根本上重新设计印度的医疗保健系统, 以实现全民健康覆盖.
- 提出一个综合的国家医疗保健模式,优先考虑公共初级保健.
- 确定医疗保健转型的关键挑战和必要的政策转变.
主要方法:
- 对现有卫生系统数据进行政策分析和综合.
- 与中等收入国家和地区邻国的医疗保健指标的比较分析.
- 制定国家综合医疗保健体系的框架.
主要成果:
- 在各州持续存在的健康差异,城乡差距和社会阶层需要紧急关注.
- 提出一个新的架构,以一个强大的公共初级保健系统为中心,
- 主要挑战包括资金不足,监管不足,商业化,腐败和分散的治理.
结论:
- 实现全民医疗覆盖需要将医疗保健视为公共利益,
- 需要进行彻底的重组以促进医疗公平并消除医疗保健造成的贫困.
- 拟议的综合系统旨在提供合理,可访问,优质的无现金服务和强有力的问责制.
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