什么可以证明公众参与卫生融资决策是合理的?
Matthew S McCoy1, Johan L Dellgren1, Ezekiel J Emanuel1
1Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Blockley Hall, 423 Guardian Drive, Philadelphia, PA19104, United States of America.
Bulletin of the World Health Organization
|January 9, 2025
概括
公众参与卫生融资决策并不能保证公平的结果. 决策者应该通过政策选择直接优先考虑公平,而不仅仅依赖公众的意见.
科学领域:
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 世界银行的报告"开放和包容:为全民健康覆盖提供资金的公平流程"强调了卫生融资的公平流程.
- 一个关键的贡献是强调增加公众参与卫生融资决策.
研究的目的:
- 批判性地评估公众参与卫生融资导致更公平的结果的假设.
- 重构公众参与在卫生融资政策中的作用.
主要方法:
- 在世界银行报告中引用的国家级公众参与倡议的分析.
- 检查有关卫生融资公共优先事项的证据.
主要成果:
- 有证据表明,参与的公众可能不会将公平优先于其他价值观,例如最大限度地提高人口健康.
- 将公众参与与公平结果联系在一起的假设受到质疑.
结论:
- 公众参与应该被视为理解公共价值观的中立工具,而不是强制执行诸如公平等特定结果的机制.
- 寻求优先考虑公平的政策制定者应该在覆盖设计和融资方面实施直接的政策选择.
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