艾乌什曼·阿罗吉亚寺和印度在实现全民健康覆盖方面的进展:叙述性回顾
Srishti Gulati1, Balu Natha Mote1, Jatin Bhatt1
1Community Processes - Comprehensive Primary Healthcare (CP-CPHC), National Health Systems Resource Centre, New Delhi, India.
Journal of family medicine and primary care
|March 12, 2026
概括
阿尤斯曼医疗寺 (AAM) 通过改善初级医疗保健准入和减少自付费用,显著推进了印度的全民健康覆盖 (UHC). 尽管面临诸如劳动力短缺等挑战,但AAM为公平的卫生服务提供了一个可扩展的模型.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健系统研究 医疗保健系统研究
- 卫生经济学 卫生经济学
背景情况:
- 阿育曼健康寺 (Ayushman Arogya Mandir,简称AAM) 是印度公共卫生领域的一个重要举措,旨在实现全民健康覆盖 (UHC).
- 了解其影响,实施和未来潜力对于推动印度和全球医疗保健改革至关重要.
研究的目的:
- 对"阿育曼医疗寺 (AAM) "倡议进行叙事审查和二次分析.
- 评估AAM在印度实现全民健康覆盖 (UHC) 的影响,实施挑战和未来潜力.
主要方法:
- 根据叙事评论文章评估标准 (SANA) 的指导方针进行了叙事评论.
- 在PubMed,Scopus和Google Scholar进行了结构化的文献搜索,包括政府报告和政策文件 (2014年1月至2024年11月).
- 纳入标准集中在与印度的UHC改革相关的同行评审文章和政府报告上,不包括评论和意见稿.
主要成果:
- AAM和相关改革为UHC的进步做出了贡献,UHC服务覆盖率指数从57 (2015) 增加到63 (2021).
- 自有支出大幅下降,从2014年至2015年的60.6%降至2021年至22年的39.4%.
- 持续的挑战包括劳动力短缺,基础设施赤字和供应链问题,需要有针对性的政策干预.
结论:
- 阿育曼医疗寺 (AAM) 显示出作为提供负担得起,可访问和优质初级医疗保健的可扩展模式的重大承诺.
- 该倡议对于印度在实现全民健康覆盖 (UHC) 的进展至关重要.
- 对于那些寻求加强初级医疗保健系统的低收入和中等收入国家来说,AAM提供了宝贵的教训.
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