喀拉拉州实现全民医疗覆盖的进展:已走过的路和更远的路
G S Adithyan1,2, Alok Ranjan3, V R Muraleedharan4
1Junior Public Health Professional (PHC), Department of UHC / Health Systems, WHO-SEARO, New Delhi, India. adithyangs@gmail.com.
International journal for equity in health
|August 5, 2024
概括
喀拉拉邦 喀拉拉邦 喀拉拉邦
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喀拉拉州已经实施了重大的全民健康覆盖 (UHC) 改革.
- 阿德拉姆使命 (2017年启动) 专门针对加强初级医疗保健 (PHC).
- 这项研究考察了在喀拉拉邦的UHC背景下获得和金融保护的公平性.
研究的目的:
- 探索在喀拉拉邦获得医疗保健和金融保护方面的公平性.
- 分析UHC改革对医疗保健利用的影响.
- 从喀拉拉邦的卫生系统强化方法中吸取教训.
主要方法:
- 利用了国家样本调查 (第75轮,2017-18年) 克拉拉州样本的数据.
- 将数据与第71轮样本调查 (2014) 的数据进行比较,以评估进展.
- 采用后勤回归和政治经济方法进行分析.
主要成果:
- 公共设施用于门诊护理的利用率从34.0% (2014) 增加到47.5% (2017-18),特别是在较低的社会经济群体中.
- 在公共设施的住院护理也从33.9% (2014年) 增加到37.3% (2017-18年).
- 在门诊和住院护理的私人机构,口袋支出增加了更多.
结论:
- 公共设施使用量的增加表明,公众对喀拉拉州的医疗保健系统在UHC改革后的信任更大.
- 与保险相关的UHC改革本身不足以进一步取得进展.
- 通过Aardram任务加强PHC对于Kerala的UHC目标至关重要.
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