印度在PM-JAY之前和之后的公共医疗保险覆盖范围:对全国代表性调查数据的重复横截面分析
Sanjay K Mohanty1, Ashish Kumar Upadhyay2, Suraj Maiti2
1Department of Population and Development, International Institute for Population Sciences, Mumbai, Maharashtra, India sanjayiips@yahoo.co.in.
印度的Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY) 增加了贫困人口的非缴费公共健康保险 (NPHI) 覆盖率,减少了不平等. 然而,这些进展不足以实现全民健康覆盖的目标.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 非缴费性公共医疗保险 (NPHI) 对于全民医疗覆盖至关重要.
- 印度的Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY) 是印度的一个大规模的NPHI计划.
研究的目的:
- 评估PM-JAY对印度最贫困人口医疗保险覆盖的影响.
- 评估NPHI覆盖范围的变化,社会经济不平等和地理差异.
主要方法:
- 利用了全国代表性的国家家庭健康调查数据 (2015-2016年和2019-2021年).
- 分析了NPHI覆盖率趋势,按城市/农村,州,地区和社会经济地位分层.
- 根据PM-JAY在各个地区的实施,审查了北方邦的覆盖范围变化.
主要成果:
- NPHI覆盖率增加了11.7个百分点 (农村) 和8.0个百分点 (城市).
- 目标家庭的覆盖率增长最大,减少了有利于富人的不平等.
- 地理不平等缩小了,但在早期实施PM-JAY的州,覆盖率并没有更多地增加.
结论:
- 总理-JAY与增加NPHI覆盖率和减少不平等相吻合.
- 从PM-JAY获得的可归因收益是不确定的,并且不足以普遍覆盖贫困人口.
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