Harvard School of Public Health, Boston, MA, USA; Harvard Kennedy School of Government, Cambridge, MA, USA.
Lancet. 2015 Apr 4;385(9975):1352-8. doi: 10.1016/S0140-6736(14)61467-7. Epub 2014 Oct 15.
Policy innovations and lessons associated with the quest for universal health coverage in Latin America are the result of a complex epidemiological transition, an extended process of democratisation, and high economic growth in recent times that has facilitated additional investments in health. The goal of universal health coverage is part of a third generation of health-system reforms, which implies a comprehensive scope of policy interventions, including the introduction of explicit ethical frameworks, the enhanced attention to financial arrangements, and the transformation of major dimensions of the organisation of health systems. The call for action emphasises the next steps that could help reach the goal of universal health coverage both in the Latin American region and the rest of the developing world.
与拉丁美洲全民健康覆盖探索相关的政策创新和经验教训，源自于近期复杂的流行病学转变、漫长的民主化进程，以及经济的高速增长，这都为卫生领域的进一步投资提供了便利。全民健康覆盖目标是卫生系统改革第三代的一部分，这意味着政策干预的范围很广泛，包括引入明确的道德框架、更加关注财务安排，以及转变卫生系统组织的主要维度。这一行动呼吁强调了有助于拉丁美洲地区乃至整个发展中世界实现全民健康覆盖目标的下一步措施。
