2010年和2019年结构性决定因素与全民健康覆盖之间的相关性:对全球疾病负担的分析研究研究
Orlando Luiz do Amaral Junior1, Maria Laura Braccini Fagundes1, Fernando Neves Hugo2
1Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil.
更强大的治理和经济因素与更好的全民健康覆盖 (UHC) 相关联. 有利的结构条件改善了卫生系统的表现,但全球范围内仍然存在不平等.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 健康的社会经济决定因素
背景情况:
- 全民健康覆盖 (UHC) 是一个全球优先事项,旨在实现公平获得医疗保健.
- 了解影响UHC有效覆盖范围的结构性决定因素对于政策制定至关重要.
研究的目的:
- 评估结构性决定因素 (治理,经济政策,文化,社会政策) 与UHC有效覆盖率之间的相关性.
- 分析这些关联在204个国家和地区的2010年和2019年.
主要方法:
- 使用2019年全球疾病负担 (GBD) 估计的生态研究设计.
- 检查五个关键维度的结构决定因素.
- 应用斯皮尔曼相关性来量化关系.
主要成果:
- 在2010年和2019年,在UHC有效覆盖率和结构性决定因素之间发现了显著的正相关性.
- 国内生产总值 (GDP) 和健康指数的社会决定因素 (SDI) 始终显示出最强的正相关性.
- 治理和政府支出也与UHC有显著的正相关性.
结论:
- 有利的结构条件,特别是强有力的治理和社会经济发展,与更高的UHC有效覆盖率有关.
- 在UHC中持续存在的差异凸显了解决社会和经济不平等的有针对性的政策的需要.
- 环境因素对卫生系统的表现和实现全民医疗覆盖有重大影响.
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