重新审视反向护理法:一个全球视角
Richard Cookson1, Tim Doran2, Miqdad Asaria3
1Centre for Health Economics, University of York, York, England.
Lancet (London, England)
|February 28, 2021
概括
在全球范围内,社会弱势群体面临着不平等的医疗服务和质量. 解决这些差异需要综合的全民健康覆盖和以减少健康不平等为重点的初级保健.
科学领域:
- 卫生政策
- 健康经济学
- 社会流行病学
背景情况:
- 低收入和中等收入国家 (LMICs) 持续存在的反向护理法不利于更有健康需求的社会贫困群体.
- 高收入国家 (HIC) 的不成比例的护理法律为弱势群体提供了更多,但质量较差和不足的护理.
- 两种法律都源于财政障碍,医疗保险的分散以及医疗保健寻求和投资的社会不平等.
研究的目的:
- 分析影响社会弱势群体获得医疗保健和医疗保健质量的反向和不成比例的医疗保健法律.
- 确定这些护理法律的根本原因,包括财务,系统和社会因素.
- 提出减少健康不平等的政策干预措施.
主要方法:
- 审查和综合现有关于在LMIC和HIC获得医疗保健和公平的文献.
- 分析导致反向和不成比例的护理法律的因果因素.
- 检查卫生政策目标中的潜在权衡.
主要成果:
- 在社会上处于劣势的个体总是获得相对于他们的需求而言不足或质量不佳的医疗保健.
- 金融障碍,医疗保险的分散以及在寻求护理和共同投资方面的社会不平等是关键因素.
- 现有的护理法律加剧了健康不平等,
结论:
- 综合的全民医疗覆盖和加强的初级保健,根据需要分配,可以改善人口的健康状况,减少差距.
- 卫生政策和技术必须经过分配分析, 以确保公平并减少健康不平等.
- 解决不平等医疗分配的根本原因对于实现健康公平至关重要.
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