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拉丁美洲的卫生系统:寻求全民健康覆盖。

Health Systems in Latin America: The Search for Universal Health Coverage.

机构信息

President of the University of Miami, Miami, USA; Ex Ministro de Salud de México (2000-2006), Ciudad de Mexico, Mexico.

Centro de Investigación de Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.

出版信息

Arch Med Res. 2018 Feb;49(2):79-83. doi: 10.1016/j.arcmed.2018.06.002. Epub 2018 Jun 28.

Abstract

This paper discusses the health challenges faced by countries in Latin America. These challenges have two dimensions: those related to the health needs of populations and those related to the way in which health systems are responding to these needs. The main conclusion is that in order to improve health conditions and move towards universal health coverage, Latin American countries need to design a new generation of policy innovations based on the separation of the three main functions of health systems: financing, delivery and stewardship.

摘要

本文探讨了拉丁美洲国家所面临的健康挑战。这些挑战有两个层面:一是与人口健康需求相关的层面,二是与卫生系统应对这些需求的方式相关的层面。主要结论是,为了改善健康状况并朝着全民健康覆盖的方向迈进,拉丁美洲国家需要在卫生系统的三大主要功能(筹资、提供服务和管理)分离的基础上,设计新一代的政策创新。

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