传染病干预措施在埃塞俄比亚基本卫生服务包中的分布影响:一项建模研究
Lelisa Fekadu Assebe1, Ole Norheim2
1Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA lelfekadu1@gmail.com.
BMJ open
|July 17, 2023
概括
获得埃塞俄比亚基本卫生服务套餐 (EHSP) 改善了健康公平和财务保护. 欧洲卫生健康计划为最贫困人口提供了更大的好处,提高了整体社会福利,减少了健康不平等.
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
- 健康 公平 研究 健康 公平 研究
背景情况:
- 减少健康和金融风险的不平等对于普及医疗覆盖至关重要,特别是在低收入和中等收入国家.
- 医疗福利套餐设计提供了一个基于既定标准选择干预措施的战略机会.
研究的目的:
- 检查埃塞俄比亚基本卫生服务套餐 (EHSP) 中选择的干预措施的健康公平性和财务保护影响.
- 在国家一级分析与这些干预相关的成本.
主要方法:
- 使用了分布式成本效益分析.
- 关于疾病发病率,人口规模,健康益处和计划成本的数据来自全球数据库,国家调查和EHSP数据库.
- 在一年的时间内,分析了最新的EHSP修订中的30项干预措施.
主要成果:
- 23项干预措施改善了人口健康并减少了不平等;4项减少了人口健康和不平等;3项改善了健康,同时增加了不平等.
- 通过EHSP的干预,每人健康调整后的预期寿命 (HALE) 提高了0.021.
- 总共有1,794,775例灾难性的医疗支出被避免,对最贫困的五分之一有显著的好处.
结论:
- 增加对EHSP的访问显然提高了埃塞俄比亚的健康公平和财务保护.
- 有针对性的EHSP干预措施可以不成比例地使最贫穷的人口受益,从而改善社会福利和减少健康差距.
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