估计印度各州内UHC所需的资金
Nachiket Mor1, Sudheer Kumar Shukla2
1Banyan Academy of Leadership in Mental Health, India.
The Lancet regional health. Southeast Asia
|June 29, 2023
概括
印度各州可以通过当前支出实现全民健康覆盖 (UHC),如果解决效率低下问题. 许多州需要大幅增加预算,才能达到UHC估计的2000人均成本.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健的融资 医疗保健的融资
背景情况:
- 全民健康覆盖 (UHC) 是一个全球可持续发展目标.
- 印度各州的人均政府卫生支出 (GHE) 呈现出显著差异.
- 目前,印度没有一个州提供UHC,尽管支出水平各不相同.
研究的目的:
- 估计在印度各州实现UHC的财务需求.
- 为了将这些估计与各州当前的GHE进行比较.
- 确定阻碍印度提供UHC的因素.
主要方法:
- 利用二次数据来估计UHC的融资需求.
- 采用了四种新的方法:外向,精算,规范和内向外.
- 将估计的UHC成本与现有的州级GHE进行了比较.
主要成果:
- 大多数方法估计每人UHC成本在1302到2703之间,以2000为合理的点估计.
- 在各州之间没有发现UHC成本估计的显著差异.
- 内外方法,假设当前系统的最佳性,产生了不同的结果.
结论:
- 如果减少当前卫生支出中的浪费和低效率,几个印度州可能拥有UHC的财务能力.
- 一些州可能比GHE/GSDP比率更远离UHC.
- 比哈尔,哈德,中邦和北方邦等州可能需要三倍以上的卫生预算才能实现UHC.
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