在南亚实现全民医疗覆盖的挑战和机遇:全面审查
Jayendra Sharma1, Milena Pavlova1, Wim Groot1
1Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.
Asia-Pacific journal of public health
|November 15, 2024
概括
在南亚,实现全民医疗覆盖 (UHC) 受到卫生系统资金不足,社会保护不足和护理分散的阻碍. 应对这些挑战对于改善所有人口获得医疗保健和财务保护至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 卫生政策 卫生政策
背景情况:
- 南亚在医疗保健和金融保护方面面临重大赤字,阻碍了通用医疗覆盖 (UHC) 的进展.
- 现有的卫生系统面临着许多挑战,这些挑战阻碍了公平和全面的医疗保健服务.
研究的目的:
- 进行范围审查,审查在南亚地区实现全民健康覆盖 (UHC) 的多方面的挑战和机会.
- 综合当前关于UHC进展的文献,确定持续存在的障碍和前进的潜在途径.
主要方法:
- 采用了六个阶段的Arksey和O'Malley方法框架来进行范围审查.
- 使用系统性审查的首选报告项目和对范围审查的元分析扩展 (PRISMA-ScR) 检查清单进行结构化报告.
- 在三个数据库和13个灰色文献来源中进行了系统搜索,审查了27个选定的记录.
主要成果:
- 确定的主要挑战包括卫生系统的慢性资金不足,社会保护或保险机制不发达,以及卫生系统的严重碎片化.
- 不能有效监管私人医疗保健部门,对非传染性疾病的准备不足,以及对医疗保健质量和公平获取的担忧经常被报告.
- 虽然国家特定的环境带来了各种挑战,但在整个地区出现了一致的主题.
结论:
- 在南亚,通过系统性,金融和监管挑战的复杂相互作用,实现全人类健康的进展受到严重阻碍.
- 建议进行进一步的研究,以纵向跟踪这些挑战和相关优先事项的演变,以制定有效的UHC战略.
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