Passchier R V
Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, South Africa; Department of Psychiatry, Steve Biko Academic Hospital, Pretoria, South Africa; Bheki Mlangeni District Hospital, Soweto, South Africa.
S Afr Med J. 2017 Sep 22;107(10):836-838. doi: 10.7196/SAMJ.2017.v107i10.12726.
This article explores the challenges of implementing the proposed National Health Insurance for South Africa (SA), based on the six building blocks of the World Health Organization Health System Framework. In the context of the current SA health system, leadership, finance, workforce, technologies, information and service delivery are explored from the perspective of the people at ground level. Through considerations such as these, the universal health coverage goals of health equity, efficiency, responsiveness and financial risk protection, might be realised.
本文基于世界卫生组织卫生系统框架的六大要素，探讨了在南非实施拟议的国家医疗保险所面临的挑战。在南非现行卫生系统的背景下，从基层民众的角度对领导力、资金、劳动力、技术、信息和服务提供等方面进行了探讨。通过诸如此类的考量，或许能够实现卫生公平、效率、响应性和财务风险保护等全民健康覆盖目标。
