印度卫生系统和卫生政策转型中的数字治理

Manoj Kar, Sipra Ram
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摘要

一个国家繁荣昌盛的基石是其公民的健康,而全民健康覆盖(UHC)则是衡量其卫生系统在促进包容性和福祉方面成功与否的重要标准。21 世纪以来,人们越来越重视围绕个人重塑卫生系统,数据和数字技术的整合为推进 "卫生系统转型中的数字治理 "概念提供了重要机遇。然而,尽管卫生政策制定者面临着各种挑战,但 "数字卫生治理 "的切实转变仍在进行之中。本政策综述探讨了印度的数字治理举措,旨在彻底改变医疗保健的可及性和提供方式,为实现全民健康计划做出贡献。本政策综述探讨了印度旨在彻底改变医疗服务可及性和提供方式、促进实现全民健康计划的数字治理举措,并对国家数字健康蓝图(NDHB)、国家数字健康计划(NDHM)、印度数字健康计划(Ayushman Bharat Digital Health Mission)等国家数字健康计划以及全球健康干预措施进行了阐述。针对基础设施有限和对采用数字化犹豫不决等挑战,文件强调了在国家卫生系统框架内讨论的能力建设和提高认识等解决方案。它强调了促进政府、初创企业、医院和学术机构等主要利益相关者之间跨学科合作的最佳治理模式的重要性。最终目标是在强有力的公共政策和治理机制的支持下,为战略性数字化转型提供真知灼见,从而塑造一个更加公平、高效和具有数字化能力的医疗生态系统。这反过来又有助于印度到 2030 年实现全民健康目标(联合国可持续发展目标)。
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Digital governance in transforming health systems and health policy in India
The cornerstone of a thriving nation is the health of its citizens, and Universal Health Coverage (UHC) stands as a vital measure of success of its health systems in promoting inclusivity and well-being. The 21st century has seen a growing focus on reshaping health systems around individuals, with integration of data and digital technologies offering significant opportunities for advancing concept of ‘digital governance in transforming health systems’. However, despite the challenges faced by health policymakers, a tangible transformation in 'digital health governance' is still underway.This policy review explores India's digital governance initiatives aimed at revolutionizing healthcare accessibility and delivery to contribute to the realization of UHC. It sheds light on national digital health programs like National Digital Health Blueprint (NDHB), National Digital Health Mission (NDHM), Ayushman Bharat Digital Health Mission, and global health interventions. Addressing challenges such as limited infrastructure and hesitancy toward digital adoption, the paper emphasizes solutions like capacity building and awareness generation as discussed within the national health systems framework. It underscores the importance of optimal governance models fostering interdisciplinary collaboration among key stakeholders, including government, startups, hospitals, and academic institutions. The ultimate goal is to offer insights into strategic digital transformations, supported by robust public policies and governance mechanisms, which can shape a more equitable, efficient, and digitally empowered healthcare ecosystem. This, in turn, contributes to the progress of UHC in India by 2030 (UN-SDGs).
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