作为政治工具的医疗改革:实现全民健康覆盖

Tabish Sa
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摘要

印度人口占世界人口的近五分之一。生活在该国不同地区和各州的人们在种族、文化、宗教信仰和影响其健康状况的其他方面存在差异。一个有效和高效的卫生保健提供系统是必不可少的。印度必须关注其人口不断变化的医疗保健需求。高质量医疗的可负担性是一个主要问题。在印度,许多人仍然生活在贫困线以下,需要解决高质量护理的可负担性问题。随着意识的提高,负担能力和生活方式疾病的增加,医疗保健是国家的基本需求之一。启动国家健康保护计划是朝着正确方向迈出的一步。国家卫生保健计划将于2018年9月25日起生效,作为实现全民健康覆盖的一项政治工具。这是世界上最大的医疗保险计划,覆盖了印度近40%的人口。它的成功将取决于该计划在基层的定义和执行情况。初级保健必须使所有人都能负担得起并获得。这将提高人民的健康水平,减少财政的总成本。跨学科的保健方法强调了将综合战略应用于健康科学实践的重要性。持续的进展和公共部门在卫生系统改革中的重要作用至关重要。如果有效实施,国家卫生服务计划有望在未来十年对印度卫生保健系统产生重大影响。从全球角度来看,作为最大的健康保险计划,其愿景是覆盖5亿贫困和弱势受益者。
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Health Reform as Political Instrument: Achieving Universal Health Coverage
India constitutes nearly one-fifth of the world’s population. People living in different parts of the country and states differ in their ethnic origin, culture, religious beliefs and other ways that influence their health status. An effective and efficient health care delivery system is indispensable. India has to focus on ever-evolving healthcare needs of its population. Affordability of quality care is a major issue. In India a large number of people still live below poverty line, the affordability of quality care needs to be addressed. With the rise in awareness, affordability and lifestyle diseases, healthcare is one of the essential needs of the nation. Launching of National Health Protection Scheme (NHPS) is a step in the right direction. The NHPS will be effective from 25 September 2018 as a political instrument towards achieving Universal Health Coverage. This is the world’s largest health insurance scheme covering nearly 40 percent of India’s population. Its success will depend on how well the plan is defined and implemented on the ground level. Primary care has to make affordable and accessible to all. It will improve the wellness of the population and reduce the overall cost to the exchequer. Interdisciplinary approach to healthcare underscores the importance of applying integrative strategies to the practice of health sciences. Continued progress and a large public-sector role in health systems reform are crucial. If effectively implemented, the NHPS is expected to make a substantial difference in the Indian health care system over the next decade. Being the largest health insurance plan, from a global perspective, its vision is to cover 50 crore poor and vulnerable beneficiaries.
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