巴基斯坦通往全民健康覆盖的道路:国家和地区的见解
Di Yang1, Zlatko Nikoloski2, Ghazna Khalid3
1LSE Health, The London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK. d.yang21@lse.ac.uk.
International journal for equity in health
|August 15, 2024
概括
巴基斯坦在全民健康覆盖 (UHC) 方面取得了进展,但省级差异和儿童免疫缺口仍然存在. 解决贫困问题和确保政策的一致性是UHC扩张的关键.
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:
- 全民健康覆盖 (UHC) 是一个全球卫生政策目标,与可持续发展目标保持一致.
- 巴基斯坦正在复杂的卫生环境中实施和扩大UHC计划.
- 这项研究评估了巴基斯坦在UHC方面的国家和地方进展.
研究的目的:
- 评估巴基斯坦在实现全民健康覆盖 (UHC) 的进展情况,无论是在国家层面还是地方层面.
- 确定医疗保健获取不平等的主要驱动因素.
- 检查灾难性卫生支出 (CHE) 的决定因素.
主要方法:
- 利用了人口和健康调查和家庭综合经济调查 (2007年,2013年,2018年) 的数据.
- 构建了一个UHC指数用于国家和次国家分析.
- 雇员集中度指数 (CI) 分解,后勤回归和萨托利的两步模型.
主要成果:
- 巴基斯坦表现出稳定的UHC进展,但存在显著的省级差异.
- 较低的贫困率与较高的UHC指数相关,表明扶贫和UHC之间的协同作用.
- 儿童免疫接种仍然是一个挑战;社会经济地位影响医疗保健和灾难性医疗支出 (CHE),医药成本占主导地位.
结论:
- 巴基斯坦的UHC进展与经济发展和政策倡议保持一致.
- 经济不发达和省级不平等仍然是UHC的重大障碍.
- 可持续的UHC扩张需要政策的一致性,财政支持,以及在欠发达地区有针对性的减贫.
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