Department of Public Health, Gunma University, Maebashi, Japan.
Department of Health Policy and Management, Health Policy Research Center, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Int J Health Plann Manage. 2019 Jan;34(1):e314-e326. doi: 10.1002/hpm.2651. Epub 2018 Sep 6.
Nearly half of the countries in the world are in the process of reforming and strengthening their health care systems. More recently, even low-income and middle-income countries such as Mongolia have focused increasing attention on achieving universal health coverage (UHC). At this critical point, it is necessary to track recent progress and adjust health care strategies and planning. Therefore, this study analyzed changes in the health sector toward achieving UHC based on relevant literature, government documents, and framework analysis. We also investigated how basic principles of UHC were incorporated and reflected in Mongolia's Health Sector Strategic Master Plan. This study clarified the achievements of and challenges facing the health sector that remain or emerged during the plan's implementation over the last decade. Furthermore, all of the reviewed Master Plan strategies were underpinned by basic principles of UHC. However, strategies set out in the next Master Plan will require adjustments and innovative measures to respond to current challenges. This study may be used as a reference for other developing countries to track UHC achievements and serve as a guide to establishing a nation-wide strategic plan.
世界上近一半的国家正在改革和加强其医疗保健系统。最近,甚至蒙古等低收入和中等收入国家也越来越关注实现全民健康覆盖 (UHC)。在这一关键时刻,有必要跟踪最新进展并调整医疗保健战略和规划。因此,本研究基于相关文献、政府文件和框架分析,分析了实现全民健康覆盖目标的卫生部门的变化。我们还调查了全民健康覆盖的基本原则是如何纳入并反映在蒙古卫生部门战略总体规划中的。本研究阐明了在过去十年的计划实施过程中,卫生部门仍存在或出现的成就和挑战。此外,审查的所有总体规划战略都以全民健康覆盖的基本原则为基础。然而,下一个总体规划中制定的战略需要调整和创新措施,以应对当前的挑战。本研究可作为其他发展中国家跟踪全民健康覆盖成就的参考,并为制定全国性战略规划提供指导。