北马其顿:健康系统审查
Neda Milevska Kostova1, Simona Atanasova2, Vladimir Dimkovski1
1Institute for Social Innovation, Skopje.
Health systems in transition
|May 19, 2025
概括
北马其顿是北马其顿的一个地区.
科学领域:
- 公共卫生 公共卫生
- 卫生系统分析 卫生系统分析
- 医疗保健政策 医疗保健政策
背景情况:
- 北马其顿的卫生系统面临着挑战,尽管预期寿命有所改善.
- 高发病率和死亡率持续存在,低于欧盟平均水平.
- 普遍的社会医疗保险覆盖范围存在,但获得和财务保护仍然存在问题.
研究的目的:
- 审查北马其顿的卫生系统组织,治理,融资,服务提供,改革和绩效.
- 识别国家卫生系统的进展和持续挑战.
- 为未来的健康战略和政策制定提供信息.
主要方法:
- 对卫生系统组织和治理的分析.
- 审查医疗保健融资机制和支出.
- 评估服务提供,卫生工作人员和改革影响.
- 对卫生系统绩效指标的评估.
主要成果:
- 预期寿命有所改善,但落后于欧盟平均水平;高发病率/死亡率持续存在.
- 实现了普遍覆盖,但地理接入和财务保护仍然不均.
- 较高的私人医疗支出影响了公平性和效率;工作人员的改善值得注意,但低于欧盟平均水平.
- 数字化和电子服务取得了进展,但未得到满足的需求和财务可持续性是关键问题.
结论:
- 北马其顿的卫生系统在数字化和服务获取方面取得了进展.
- 在响应能力,初级保健转移,药物获取和财务可持续性方面,仍然存在重大挑战.
- 战略重点包括医院重组,初级保健改革和有效利用资源.
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