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巴基斯坦的全民健康覆盖:探索卫生系统、就医行为及卫生服务利用情况

Universal health coverage in Pakistan: exploring the landscape of the health system, health seeking behaviours, and utilization of health services.

作者信息

Shaikh Babar Tasneem

机构信息

Health Service Academy, Park Road, Chak Shahzad, Islamabad, 44000, Pakistan.

出版信息

Lancet Reg Health Southeast Asia. 2024 Jun 24;27:100440. doi: 10.1016/j.lansea.2024.100440. eCollection 2024 Aug.

Abstract

The attainment of the noble objective of Universal Health Coverage (UHC)- 'leaving no one behind' necessitates sufficient financial resources, an ample supply of skilled healthcare professionals, and the availability of essential services as part of a basic package This paper presents an analysis of the health system, health seeking behaviours and health service utilization to UHC in Pakistan. We have used the UHC 14 tracer indicators of service coverage to see where Pakistan stands, what are the gaps and what needs to be done. Pakistan clearly is lagging behind its neighboring countries. The country's health system ought to work on health seeking behaviours and broader determinants of health. The pursuit of UHC demands a shared responsibility and collective action, with stakeholders from different sectors uniting their efforts and expertise. Together, they can establish robust systems, design comprehensive policies, allocate adequate resources, and implement interventions that transcend disciplinary boundaries.

摘要

实现全民健康覆盖(UHC)这一崇高目标——“不让任何人掉队”,需要充足的财政资源、大量技术娴熟的医疗保健专业人员以及作为基本套餐一部分的基本服务的可及性。本文对巴基斯坦实现全民健康覆盖的卫生系统、就医行为和卫生服务利用情况进行了分析。我们使用了全民健康覆盖服务覆盖的14项追踪指标来了解巴基斯坦的现状、存在哪些差距以及需要采取哪些措施。巴基斯坦显然落后于其邻国。该国的卫生系统应该致力于改善就医行为和更广泛的健康决定因素。追求全民健康覆盖需要共同的责任和集体行动,来自不同部门的利益相关者要联合他们的努力和专业知识。他们可以共同建立强大的系统、制定全面的政策、分配充足的资源,并实施超越学科界限的干预措施。

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