东南亚国家面临的全民健康覆盖的卫生融资挑战:系统性审查
Ming Yao Lim1, Hanin Farhana Kamaruzaman2, Olivia Wu2
1Health Economics and Health Technology Assessment, School of Health and Wellbeing, University of Glasgow, Scotland, UK. limmingyao.crc@gmail.com.
Archives of public health = Archives belges de sante publique
|August 17, 2023
概括
在东南亚实现全民健康覆盖面 (UHC) 面临着重大的卫生融资障碍,包括不可持续的收入和不断上升的成本. 政策制定者需要多方面的战略和区域合作,以实现可持续的卫生融资.
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
- 系统审查方法论 系统审查方法论
背景情况:
- 全民健康覆盖 (UHC) 是全球优先事项,对东南亚资源有限的发展中国家来说尤其具有挑战性.
- 实现UHC需要强大的医疗融资系统,这些系统在该地区往往是紧张的.
- 这项研究解决了了解东南亚追求UHC的卫生融资挑战的关键需求.
研究的目的:
- 系统地审查和确定东南亚国家在实现全民健康覆盖 (UHC) 方面面临的关键卫生融资挑战.
- 为决策者制定基于证据的建议,以克服这些已识别的挑战.
- 为发展中国家的UHC健康融资策略的知识库做出贡献.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 数据合成是使用叙事合成方法进行的.
- 通过对包含的文献进行定性分析,确定了共同的主题和挑战.
主要成果:
- 在选了160个初始结果后,包括了32篇文章.
- 确定了医疗融资挑战的六大主题:不可持续的收入,分散的保险,福利不匹配,政治冷漠,成本上升和不道德的做法.
- 这些挑战阻碍了东南亚地区实现全民健康覆盖的进展.
结论:
- 多样化的医疗融资挑战需要多方面的适应性解决方案.
- 区域合作对于推进UHC和减少健康不平等至关重要.
- 国家战略必须侧重于可持续融资,整合数字创新和适应健康趋势.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:18Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
01:29Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:28International Nursing Organizations II
1.0K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.0K