加强印度初级医疗保健的公共筹资:透视。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-05-10 eCollection Date: 2024-01-01 DOI:10.1177/11786329241249289
Rahul Sankrutyayan Reddy Kadarpeta, Jaidev Singh Anand, Grace Achungura
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引用次数: 0

摘要

能够应对全球多重危机的具有复原力和高绩效的卫生系统取决于其初级卫生保健(PHC)系统的有效性。这就需要为初级卫生保健提供充足且可持续的资金,而初级卫生保健应主要由政府资助。印度最近进行的 Ayushman Bharat 医疗改革旨在确保提供全面的初级保健服务,并通过增加政府资助来加强财务风险保护。政府通过建立卫生与健康中心(HWCs),扩大初级保健服务的福利包和人力资源能力,加大了对初级保健系统的投资力度。根据国家卫生使命的目标和灵活的财政机制,这为各州提供了因地制宜的解决方案和激励医疗工作者的机会。然而,使公共财政安排与提供服务的复杂性和卫生成果相一致,对形成所需的改革构成了复杂的挑战。经济增长和增加保健产品税收的空间为增加资金提供了途径。精明高效的支付机制和更强的问责制应与增加的投资相辅相成。
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Strengthening Public Financing of Primary Healthcare in India: A Perspective.

Resilient and high-performing health systems that can respond to the global polycrisis hinge upon the effectiveness of their primary healthcare (PHC) system. This requires adequate and sustainable financing for PHC, which should be predominantly government financed. The recent Ayushman Bharat health reforms in India aim to ensure comprehensive PHC services and enhance financial risk protection through increased government financing. The government has augmented investments to fortify the PHC system by establishing Health and Wellness Centers (HWCs), equipped with an expanded benefit package for PHC services & human resource capacity. Aligned with the National Health Mission's targeted and flexible financial mechanisms, this offers States the opportunity to contextualize solutions and offer incentives to healthcare workers. However, aligning public financing arrangements to service delivery complexities and health outcomes pose intricate challenges in shaping the required reforms. The economic growth and room for increased taxation on health products provide an avenue for increased funding. Smart and efficient payment mechanism with improved accountability should complement increased investment.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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