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秘鲁的健康不平等影响发展。

[Inequity in health affects the development in Peru].

作者信息

Sánchez-Moreno Francisco

机构信息

Academia Peruana de Salud, Lima, Perú

出版信息

Rev Peru Med Exp Salud Publica. 2013 Oct-Dec;30(4):676-82.

Abstract

Unfair and avoidable differences in exercising the right to health coexist with the Universal Declaration of Human Rights since 1948. Some causes of the persistent inequality inferred after Alma-Ata are insufficient funding, development of national health systems without adequate prioritization, and since the 80s with economic consensus to introduce the health market model. Health in Peru is still an area of little progress, ostensible inequality and limited participation in development. Policies in the 20th century are still insufficient; and missing opportunities like increasing the value of exports over a decade ago is a recurring issue. For a health reform to be successful in terms of equality and development, it is necessary to agree on a state policy, establish a modern and equitable social security funding system and eradicate the inconsistencies in the national health system.

摘要

自1948年《世界人权宣言》以来,在行使健康权方面一直存在不公平且可避免的差异。阿拉木图会议之后推断出的持续不平等的一些原因包括资金不足、国家卫生系统发展缺乏适当的优先排序,以及自80年代以来经济上达成引入卫生市场模式的共识。秘鲁的卫生状况仍然进展甚微,存在明显的不平等,且在发展中的参与有限。20世纪的政策仍然不够充分;像十多年前提高出口价值这样错过的机遇是一个反复出现的问题。要使卫生改革在平等和发展方面取得成功,就必须就国家政策达成一致,建立一个现代且公平的社会保障筹资体系,并消除国家卫生系统中的不一致之处。

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