对健康公平不采取行动的代价及其社会决定因素
Pooja Yerramilli1,2, Mickey Chopra2, Kumanan Rasanathan3
1Department of Medicine, GWU School of Medicine and Health Sciences, Washington, DC, USA pyerramilli@worldbank.org.
对健康公平和社会决定因素的投资提供了更高的回报,特别是在经济挑战期间. 这些投资减轻了人力资本的损失,并改善了获得医疗保健创新的机会.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 健康的社会决定因素
背景情况:
- 由于通货膨胀和债务等全球经济压力,包括医疗保健在内的社会部门支出受到越来越严格的审查.
- 社会部门投资的减少已经显而易见,对公众健康构成风险.
- 疫情前的证据强调了对健康公平及其社会决定因素的投资的显著回报.
研究的目的:
- 分析在财政收紧期间投资健康公平和社会决定因素的经济理由.
- 为了突出在COVID-19流行病背景下对此类投资的放大回报.
主要方法:
- 审查有关健康股权投资及其回报的现有证据.
- 分析新出现的数据和与COVID-19流行病对社会决定因素和健康结果的影响相关的趋势.
- 经济建模以评估干预措施的成本效益.
主要成果:
- 对社会决定因素的投资可以抵消大流行引起的人力资本侵蚀.
- 这些投资有助于减轻综合症 (相互连接的流行病) 的风险增加.
- 战略投资可以改善公平获得医疗保健创新的机会.
结论:
- 尽管有直接的财政限制,但现在是投资健康公平和社会决定因素的关键时机.
- 这些投资的潜在回报非常高,提供长期的经济和社会效益.
- 优先考虑健康公平对于建立有弹性的社会和经济至关重要.
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