Social Research Center, American University in Cairo, Cairo, Egypt.
East Mediterr Health J. 2010 Jun;16(6):663-70.
The current health insurance system in Egypt targets the productive population through an employment-based scheme bounded by a cost ceiling and focusing on curative care. Egypt Social Contract Survey data from 2005 were used to evaluate the impact of the employment-based scheme on health system accessibility and financing. Only 22.8% of the population in the productive age range (19-59 years) benefited from any health insurance scheme. The employment-based scheme covered 39.3% of the working population and was skewed towards urban areas, older people, females and the wealthier. It did not increase service utilization, but reduced out-of-pocket expenditure. Egypt should blend all health insurance schemes and adopt an innovative approach to reach universal coverage.
埃及现行的医疗保险制度以就业为基础，通过设定费用上限，主要针对治疗服务，覆盖了生产性人口。本文利用 2005 年埃及社会契约调查的数据，评估了就业为基础的医疗保险计划对卫生系统可及性和筹资的影响。在生产年龄段（19-59 岁）的人群中，只有 22.8%的人受益于任何医疗保险计划。就业为基础的医疗保险计划覆盖了 39.3%的劳动人口，并且偏向于城市地区、老年人、女性和富人。它没有增加服务的利用，反而减少了自付支出。埃及应该整合所有的医疗保险计划，并采取创新的方法实现全民覆盖。
