补充保险在实现全民医保中的作用:全面回顾。

Q2 Medicine Medical Journal of the Islamic Republic of Iran Pub Date : 2024-03-13 eCollection Date: 2024-01-01 DOI:10.47176/mjiri.38.28
Elahe Askarzade, Hasan Abolghasem Gorji, Jalal Arabloo
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引用次数: 0

摘要

背景:逐步实现全民医保(UHC)是许多国家面临的一个重要问题。本研究旨在确定补充医疗保险在实现全民医保中的作用:本研究旨在确定补充医疗保险在实现全民医保中的作用。在 Scopus、PubMed 和 Web Science 等数据库中搜索到 4894 篇文章,最终选出 42 篇。根据标题和摘要的标准,对所审查的文章进行了评估,并采用专题分析方法对收集到的数据进行了分析:综述显示了 7 个维度中的 52 个子维度。政策制定者可以借鉴国际经验,通过在国家医疗融资政策框架内明确私人医疗保险的作用,确保私人医疗保险有助于实现全民医保。加强对补充医疗保险如何影响医疗系统绩效的理解。它们正在改善对私营医疗保险的监督,规范财务保护和消费者支持,实施彻底的市场监督,并在私营和公共部门之间适当分配医疗补贴:补充保险有望成为实现全民医保的补充工具。弥补基本保险的不足并提供额外的财务保护,有助于提高医疗服务的可及性、改善医疗质量并减少医疗服务的财务障碍。然而,必须认真关注可负担性、公平性、监管以及与基本保险计划的协调,以确保其有效实施并防止意外后果。
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The Role of Supplementary Insurance in Achieving Universal Health Coverage: A Comprehensive Review.

Background: The gradual movement towards universal health coverage (UHC) is an important issue in many countries. The aim of this study is to identify the role of supplementary health insurance in achieving universal coverage.

Methods: This comprehensive review study was conducted to identify the role of supplementary health insurance in achieving universal health coverage. 4894 articles were found in the search in databases (Scopus, PubMed, and Web Science), and finally42 articles were selected. Considering the criteria of titles and abstracts, the reviewed articles were assessed, and a thematic analysis approach was used to analyze the collected data.

Results: The review showed 52 Sub dimensions in 7 dimensions. Policymakers can draw on international experiences to ensure that private health insurance contributes to achieving universal health coverage by Providing clarity within the national health financing policy framework regarding the role of private health insurance. Enhancing understanding of how supplementary health insurance impacts the performance of the healthcare system. They are improving oversight of private health insurance, regulating financial protection and consumer support, and implementing thorough market surveillance and proper allocation of health subsidies between the private and public sectors.

Conclusion: Supplementary insurance holds promise as a complementary tool in achieving universal health coverage. Addressing gaps in primary insurance and providing additional financial protection can contribute to enhanced access, improved quality of care, and reduced financial barriers to healthcare services. However, careful attention must be given to affordability, equity, regulation, and coordination with primary insurance schemes to ensure its effective implementation and prevent unintended consequences.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
8 weeks
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