Research Center of the University of Montreal Hospital Center, Montreal, Canada.
Health Policy Plan. 2011 Jan;26(1):1-11. doi: 10.1093/heapol/czq021. Epub 2010 Jun 14.
In Africa, user fees constitute a financial barrier to access to health services. Increasingly, international aid agencies are supporting countries that abolish such fees. However, African decision-makers want to know if eliminating payment for services is effective and how it can be implemented. For this reason, given the increase in experiences and the repeated requests from decision-makers for current knowledge on this subject, we surveyed the literature. Using the scoping study method, 20 studies were selected and analysed. This survey shows that abolition of user fees had generally positive effects on the utilization of services, but at the same time, it highlights the importance of implementation processes and our considerable lack of knowledge on the matter at this time. We draw lessons from these experiences and suggest avenues for future research.
在非洲，用户付费是获得医疗服务的一个经济障碍。越来越多的国际援助机构正在支持那些取消此类费用的国家。然而，非洲决策者想知道取消服务付费是否有效，以及如何实施。出于这个原因，考虑到经验的增加，以及决策者一再要求了解这方面的现有知识，我们对文献进行了调查。采用范围研究方法，选择并分析了 20 项研究。这项调查表明，取消用户付费通常对服务的利用产生积极影响，但同时也强调了实施过程的重要性，以及我们目前对此事的知识还相当匮乏。我们从这些经验中吸取教训，并为未来的研究提出了一些途径。
