National Institute of Public Health and Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA, Bilthoven, The Netherlands.
Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium.
Global Health. 2022 Apr 2;18(1):38. doi: 10.1186/s12992-022-00831-7.
Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is a practical expression of the concern for health equity and the right to health, and a goal for all countries. This review is a novel attempt to explore the healthcare provision in the Netherlands as an expression of universal health coverage based on the right to health.The study adopted a narrative review approach using a framework that consists of 10 universal health coverage indicators which are derived from seven human rights principles. The techno-economic approach to healthcare provision by the Dutch state achieves a healthcare system where most of the population is covered for most of the services for most of the costs. The Dutch state complies with its minimum core obligations, while less attention is paid to participatory decision making and non-discrimination principles. However, with the fiscal sustainability of healthcare provision showing erosion, basing healthcare policy on values based on human rights principles might prevent a regressive policy.
全民健康覆盖是可持续发展目标的目标之一，是指所有人都能以可负担的价格获得关键的促进、预防、治疗和康复性卫生干预措施。这是对健康公平和健康权的关注的实际体现，也是所有国家的目标。本综述是一种新颖的尝试，旨在基于健康权探讨荷兰的医疗保健提供情况，以此作为全民健康覆盖的表现形式。该研究采用叙述性综述方法，使用了一个框架，该框架包含了源自七项人权原则的 10 项全民健康覆盖指标。荷兰国家采用技术经济方法提供医疗保健，实现了一个覆盖大多数人口、提供大多数服务、支付大部分费用的医疗保健系统。荷兰国家履行了其最低核心义务，但对参与式决策和不歧视原则的关注较少。然而，随着医疗保健提供的财政可持续性出现侵蚀，基于基于人权原则的价值观制定医疗保健政策可能会防止政策倒退。
