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全民健康覆盖:突破还是大白象?
1Dodowa Health Research Centre, Research and Development Division, Ghana Health Service, Dodowa, Ghana; Public Health Faculty, Ghana College of Physicians and Surgeons, Accra, Ghana.
Lancet (London, England)
|October 13, 2018
概括
本研究探讨了加纳可持续发展目标3的实施情况,重点关注全民健康覆盖. 它评估到2030年实现这一目标是突破还是失败,考虑到全球和国家卫生优先事项.
科学领域:
- 全球卫生政策
- 健康经济学
- 公共卫生实施科学
背景情况:
- 可持续发展目标3旨在实现全民健康覆盖,包括获得优质服务和药物.
- 这一子目标的实施带来了挑战和不确定性的最终成功.
- 自世界卫生组织成立以来,全球和国家卫生优先事项的历史背景对于分析至关重要.
研究的目的:
- 批判性地评估到2030年实现UHC的潜在结果.
- 探索UHC议程的实施途径和影响因素.
- 分析全球卫生议程与加纳国家卫生优先事项之间的相互作用.
主要方法:
- 对相关文献和政策文件进行全面的书面审查.
- 对塑造健康优先事项的主导思想,意识形态,机构和利益的分析.
- 自1948年以来加纳的卫生政策与全球趋势的历史分析.
主要成果:
- 这项研究确定了影响UHC实施的关键意识形态,制度和利益因素.
- 分析显示,全球卫生目标与加纳国家卫生优先事项之间存在潜在的冲突和协同作用.
- 研究突出了实现UHC的具体实施挑战和机遇.
结论:
- 在加纳实现可持续发展目标3的UHC次目标的成功取决于应对复杂的全球和国家动态.
- 了解历史背景和利益相关者利益对于有效实施至关重要.
- 这项研究提供了关于UHC是否会在2030年成为一个突破,还是"白象"的见解.
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