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在全球南方,谁支付手术费用? 一个叙事审查
Sanjay Kumar Yadav1, Aman Bakhsh2, Dhananjaya Sharma3
1Department of Surgery, Breast and Endocrine Surgery Unit, NSCB Medical College, Jabalpur, India.
全球南方国家在手术护理融资方面扎,面临高昂的自费费用. 可持续投资需要解决经济,结构和政治障碍,以确保手术护理的准入.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 手术系统 手术系统
背景情况:
- 从历史上看,在全球卫生政策中,外科护理一直被忽视.
- 最近的证据表明,手术解决了全球近30%的疾病负担.
- 安全,负担得起的外科护理对于全民健康覆盖和可持续发展目标至关重要.
研究的目的:
- 探索低收入和中等收入国家 (LMICs) 的外科护理融资.
- 检查各种融资流以及自付支付的影响.
- 确定障碍,并为全球南方的可持续外科系统提出战略.
主要方法:
- 在LMICs手术融资的叙事审查.
- 分析国内的公共资金,保险,捐助者援助和民贡献.
- 检查现有举措及其可扩展性.
主要成果:
- 大多数LMIC依赖于分散的,资金不足的系统,导致灾难性的医疗支出.
- 政治疏忽和缺乏数据阻碍了对手术护理的持续投资.
- 一些倡议展示了可扩展的融资模式,但仍然存在广泛的挑战.
结论:
- 手术护理是对国家发展的战略投资,提供了显著的成本效益.
- 整合节的创新和以价值为基础的手术对于医疗融资至关重要.
- 解决多方面的障碍对于实现公平和可持续的外科手术系统至关重要,确保护理作为普遍权利.
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