泰国卫生系统发展:成功实施全民健康覆盖的坚实平台
Viroj Tangcharoensathien1, Woranan Witthayapipopsakul1, Warisa Panichkriangkrai1
1International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand.
Lancet (London, England)
|February 5, 2018
概括
泰国
科学领域:
- 健康经济学
- 公共卫生政策
- 加强医疗保健系统
背景情况:
- 自20世纪70年代以来,泰国的健康发展主要集中在基础设施和劳动力培训上.
- 针对性保险计划改善了获得全民医疗保险 (UHC) 的机会,直到2002年.
- 尽管国民收入较低,但UHC的资金来自一般税收,而不是会员缴费.
研究的目的:
- 评估泰国全民医疗覆盖计划的影响.
- 评估金融准入,健康成果和公平的改善.
- 确定泰国医疗保健系统的剩余挑战.
主要方法:
- 对医疗保健融资和结果的经验证据分析.
- 审查有关卫生基础设施,劳动力和保险计划的政策决策.
- 评估UHC计划中的战略采购机制.
主要成果:
- 显著减少自费支付和灾难性的医疗支出.
- 医疗贫困和儿童死亡率差距显著减少.
- 有效的抗逆转录病毒疗法和置换疗法拯救了成年人的生命.
结论:
- 泰国通过一般税收资助的UHC计划成功地减少了财政障碍,并改善了健康公平.
- 战略采购提高了效率和控制成本.
- 主要挑战仍然存在,包括人口老龄化,预防非传染性疾病,减少道路交通伤害以及控制糖尿病和结核病.
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