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当市场和政府都失灵时:医疗保健

When Both Markets and Governments Fail Health.

机构信息

Department of International Health, Johns Hopkins University, Baltimore, MD, USA.

World Health Organization, Geneva, Switzerland.

出版信息

Health Syst Reform. 2019;5(4):268-279. doi: 10.1080/23288604.2019.1660756. Epub 2019 Nov 4.

DOI:10.1080/23288604.2019.1660756
PMID:31684822
Abstract

This paper presents the rationale and motivation for countries and the global development community to tackle a critical set of functions in the health sector that appear to be under-prioritized and underfunded. The recent eruptions of Ebola outbreaks in Africa and other communicable diseases like Zika and SARS elsewhere led scientific and medical commissions to call for global action. The calls for action motivated the World Health Organization (WHO) to respond by defining a new construct within the health sector: Common Good for Health (CGH). While the starting point for developing the CGH construct was the re-emergence of communicable diseases, it extends to additional outcomes resulting from failures to act and finance within and outside the health sector. This paper summarizes global evidence on failures to address CGHs effectively, identifies potential reasons for the public and private sectors' failures to respond, and lays out the first phase of the WHO program as represented by the papers in this special issue of .

摘要

本文提出了国家和全球发展界应对卫生部门中一系列被低估和资金不足的关键功能的基本原理和动机。最近非洲埃博拉疫情的爆发和其他传染病(如寨卡病毒和非典)在其他地方的爆发,促使科学和医学委员会呼吁全球采取行动。这些行动呼吁促使世界卫生组织(WHO)做出回应,在卫生部门内定义了一个新的结构:卫生共同利益(CGH)。虽然制定 CGH 结构的出发点是传染病的再次出现,但它还扩展到了卫生部门内外因不作为和资金不足而产生的其他结果。本文总结了全球在有效解决 CGH 方面的失败证据,确定了公私部门未能做出回应的潜在原因,并概述了世卫组织计划的第一阶段,这体现在本期特刊中的论文中。

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