运用利益相关者方法对印度全民健康覆盖的“阿育吠陀-总理民众健康保险计划（PM-JAY）”进行伦理分析
An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India.
作者信息
Dholakia Saumil
机构信息
Geriatric Clinical Psychopharmacology and Geriatric Psychiatry, GeriMedRisk, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON Canada.
Joint Centre for Bioethics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.
出版信息
Asian Bioeth Rev. 2020 May 27;12(2):195-203. doi: 10.1007/s41649-020-00121-7. eCollection 2020 Jun.
Abstract
This paper analyses the ethical considerations using the stakeholder theory on two specific domains of the newly implemented 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' scheme by the Government of India. The paper recommends a solidarity-based approach over an entitlement based one that focuses on out-of-pocket expenses for the most vulnerable and a stewardship role from the private sector to ensure equity, accountability, and sustainability of PM-JAY scheme.
摘要
本文运用利益相关者理论，分析了印度政府新实施的“阿育吠陀-普拉丹·曼特里·贾恩·阿罗吉亚·乔纳（PM-JAY）”计划两个特定领域中的伦理考量。本文建议采用基于团结的方法，而非基于权利的方法，后者侧重于最弱势群体的自付费用，并建议私营部门发挥管理作用，以确保PM-JAY计划的公平性、问责制和可持续性。
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本文引用的文献
1
Solidarity and Responsibility in Health Care.医疗保健中的团结与责任。
Public Health Ethics. 2019 Jul 4;12(2):133-144. doi: 10.1093/phe/phz008. eCollection 2019 Jul.
2
Expanding healthcare coverage: An experience from .扩大医疗保障覆盖面：来自 的经验。
Indian J Med Res. 2019 Mar;149(3):369-375. doi: 10.4103/ijmr.IJMR_1419_18.
3
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance.《阿育王·巴拉特总理贾恩·阿罗格亚·约哈纳和印度全民健康覆盖之路：克服管理和治理方面的挑战》
PLoS Med. 2019 Mar 7;16(3):e1002759. doi: 10.1371/journal.pmed.1002759. eCollection 2019 Mar.
4
Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study.印度西孟加拉邦拉什特里亚健康保险计划（RSBY）面临的挑战：一项探索性研究。
Int J Health Plann Manage. 2018 Apr;33(2):294-308. doi: 10.1002/hpm.2453. Epub 2017 Oct 20.
5
From universal health coverage to right care for health.从全民健康覆盖到合理的医疗保健。
Lancet. 2017 Jul 8;390(10090):101-102. doi: 10.1016/S0140-6736(16)32588-0. Epub 2017 Jan 9.
6
Universal health coverage: the third global health transition?全民健康覆盖：第三次全球卫生转型？
Lancet. 2012 Sep 8;380(9845):861-2. doi: 10.1016/S0140-6736(12)61340-3.
7
Solidarity: unfashionable, but still American.团结：虽不时兴，但仍是美国精神。
Hastings Cent Rep. 2009;Suppl:10-2.
8
Health, health workers and human rights: Dr Binayak Sen and the silence of the medical fraternity in India.健康、卫生工作者与人权：比奈亚克·森医生与印度医学界的沉默
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9
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Lancet. 2002 Jul 6;360(9326):67-72. doi: 10.1016/S0140-6736(02)09337-6.
10
Business ethics, stakeholder theory, and the ethics of healthcare organizations.商业伦理、利益相关者理论与医疗保健组织的伦理
Camb Q Healthc Ethics. 2000 Spring;9(2):169-81. doi: 10.1017/s0963180100902044.
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