对塞内加尔医疗融资政策的外部影响:推迟全民医疗覆盖?
Valéry Ridde1,2, Jean-Hugues Caffin3, Fatoumata Hane4
1Université Paris Cité, IRD, Inserm, Ceped, 45, Rue des Saints Pères, Paris F-75006, France.
Health policy and planning
|November 27, 2023
概括
国际援助影响了塞内加尔.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 全球卫生治理全球卫生治理
- 全民健康覆盖 (UHC) 实施实施.
背景情况:
- 塞内加尔追求全民医疗覆盖 (UHC) 是由于依赖国际援助而复杂化.
- 国际行为者的外部压力决定了塞内加尔卫生部门的政策选择.
- 之前的卫生改革因外部影响和政策不一致而面临挑战.
研究的目的:
- 分析国际参与者对塞内加尔卫生政策决策的影响.
- 评估外部压力对实现全民健康覆盖 (UHC) 的进展的影响.
- 检查新自由主义方法在塑造卫生改革中的作用.
主要方法:
- 20年来塞内加尔卫生改革的分析.
- 通过采访和观察收集定性数据.
- 基于广泛参与卫生政策分析的评论.
主要成果:
- 国际参与者推动了基于社区的医疗保险 (CBHI),尽管有证据表明它对UHC不足.
- 一个替代的政策建议 (专业和部门CBHI) 被全球合作伙伴抵消和推迟.
- 外部和内部顾问受到新自由主义健康方法的影响,阻碍了UHC的进展至少十年.
结论:
- 外部影响和新自由主义框架显著推迟了塞内加尔的全民健康覆盖 (UHC) 目标.
- 政策范式正在发生转变,一种替代方法现在正在获得引力并扩大规模.
- 对国际援助和咨询的批判性分析对于有效实施卫生政策至关重要.
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