印度尼西亚的全民健康覆盖:概念,进展和挑战
Rina Agustina1, Teguh Dartanto2, Ratna Sitompul3
1Department of Nutrition, Faculty of Medicine, Universitas Indonesia - Dr Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Human Nutrition Research Centre, Indonesian Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Lancet (London, England)
|December 24, 2018
概括
印度尼西亚
科学领域:
- 全球健康
- 卫生系统研究
- 公共卫生政策
背景情况:
- 印度尼西亚的地理和人口多样性带来了独特的卫生系统挑战.
- 集中式的医疗系统取得了一些成果,
- 分权化进一步增加了卫生系统的多样性.
研究的目的:
- 描述印尼创新的全民健康覆盖计划.
- 制定到2030年实现可持续发展目标的路线图.
- 分析UHC系统的成功和挑战.
主要方法:
- 审查印尼卫生系统的发展和UHC的实施.
- 对UHC系统的增长,覆盖范围和公平性进行分析.
- 确定新出现的挑战和未来的需求.
主要成果:
- 印度尼西亚的UHC系统于2014年推出,
- 统一医疗保险系统改善了医疗公平和服务获取.
- 挑战包括"缺失中间人"的入学群和幼儿的低覆盖率.
结论:
- 印度尼西亚的UHC倡议展示了对多样性的创新性适应.
- 应对非传染性疾病和投资数字卫生基础设施至关重要.
- 实现2030年可持续发展目标需要一个明确的路线图.
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