Center for Health and the Social Sciences, University of Chicago, 5841 South Maryland Avenue, MC 1005, Suite 200, Chicago, IL, 60637, USA.
Global Health. 2018 Jul 3;14(1):62. doi: 10.1186/s12992-018-0381-6.
With increasing adoption of universal health coverage (UHC), the health for all agenda is resurgent around the world. However, after a promising start the first time in 1978, the health for all agenda fizzled over the next decade. This commentary discusses the origin of the health for all agenda in the 1970s and the influence of global politico-economic forces in shaping that agenda, its demise and the resurgence in the form of UHC in the twenty-first century. We discuss UHC's focus on finances and the increasing role of market economy in health care, and the opportunities and risks UHC poses. We conclude by saying that UHC's greater focus on finances is prudent, but in order to achieve its promise, UHC needs to regulate the market based provision of healthcare, and incorporate more of the people and community centered ethos of its earlier iteration from 40 years ago.
随着全民健康覆盖（UHC）的日益普及，全球范围内的全民健康议程再次兴起。然而，在 1978 年首次取得可喜的开端之后，全民健康议程在接下来的十年中逐渐式微。本评论讨论了 20 世纪 70 年代全民健康议程的起源，以及全球政治经济力量对该议程的形成、其消亡以及在 21 世纪以 UHC 形式重新兴起的影响。我们讨论了 UHC 对财务的关注以及市场经济在医疗保健中的作用不断增强，以及 UHC 带来的机遇和风险。最后我们总结说，UHC 更加关注财务是谨慎的，但为了实现其承诺，UHC 需要规范医疗保健的市场提供，并纳入更多 40 年前其早期版本中以人民和社区为中心的精神。
