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确定免缴保费的贫困人口:撒哈拉以南非洲实现全民健康覆盖的关键一步。

Identifying the poor for premium exemption: a critical step towards universal health coverage in Sub-Saharan Africa.

作者信息

Umeh Chukwuemeka A

机构信息

Department of Global Health, Boston University School of Public Health, Boston, MA USA.

出版信息

Glob Health Res Policy. 2017 Jan 9;2:2. doi: 10.1186/s41256-016-0023-6. eCollection 2017.

DOI:10.1186/s41256-016-0023-6
PMID:29202070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5683447/
Abstract

Premium exemption for the poor is a critical step towards achieving universal health coverage in sub-Saharan Africa due to the large proportion of the population living in extreme poverty who cannot pay premium. However, identifying the poor for premium exemption has been a big challenge for SSA countries. This paper is a succinct review of four methods available for identifying the poor, outlining the ideal conditions under which each of the methods should be used and the drawbacks associated with using each of the methods.

摘要

为贫困人口免除保险费是撒哈拉以南非洲实现全民健康覆盖的关键一步,因为该地区有很大比例的人口生活在极端贫困中,无力支付保险费。然而,确定哪些贫困人口可获保费豁免,对撒哈拉以南非洲国家来说一直是一项巨大挑战。本文简要回顾了四种识别贫困人口的方法,概述了每种方法应使用的理想条件以及使用每种方法所存在的缺陷。

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本文引用的文献

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Extending health insurance in Ghana: effects of the National Health Insurance Scheme on maternity care.加纳扩大医疗保险:国家医疗保险计划对孕产妇保健的影响。
Health Econ Rev. 2016 Dec;6(1):7. doi: 10.1186/s13561-016-0083-9. Epub 2016 Feb 11.
2
Feasibility of introducing compulsory community health fund in low resource countries: views from the communities in Liwale district of Tanzania.在资源匮乏国家引入强制性社区卫生基金的可行性:来自坦桑尼亚利瓦勒区社区的观点
BMC Health Serv Res. 2013 Aug 8;13:298. doi: 10.1186/1472-6963-13-298.
3
Using community wealth ranking to identify the poor for subsidies: a case study of community-based health insurance in Nouna, Burkina Faso.利用社区财富排名来确定贫困人群以获得补贴:布基纳法索努纳社区医疗保险的案例研究。
Health Soc Care Community. 2010 Jul;18(4):363-8. doi: 10.1111/j.1365-2524.2009.00905.x. Epub 2010 Feb 18.
4
Efficiency, equity and feasibility of strategies to identify the poor: an application to premium exemptions under National Health Insurance in Ghana.识别贫困人口的策略的效率、公平性和可行性:以加纳国家健康保险保费豁免为例。
Health Policy. 2010 May;95(2-3):166-73. doi: 10.1016/j.healthpol.2009.11.017. Epub 2009 Dec 22.