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目的 :基于筹资公平性、受益公平性、卫生服务可及性、卫生系统效率、国民健康素质5个关键评价维度,对典型国家的全民健康覆盖实现程度进行评价分析。方法 :采用灰色关联分析法对各国全民健康覆盖的实现程度进行了综合评价,了解影响我国全民健康覆盖目标实现的关键问题和制约因素。结果 :各国全民健康覆盖实现程度的排序由高到低依次为英国、德国、古巴、新加坡、泰国和中国,卫生服务筹资公平性和受益公平性成为制约中国全民健康覆盖目标实现的关键瓶颈。结论 :虽然医改的实施提高了我国医疗服务的可及性及卫生系统的服务效率,但综合评价结果显示,我国距离国际上全民健康覆盖实践最佳的国家仍有差距,需要从立法、监管体制和制度整合上多方探索。
OBJECTIVE: To evaluate and evaluate the degree of universal coverage of health in typical countries based on five key evaluation dimensions: equity financing, fairness of benefits, access to health services, health system efficiency and national health quality. Methods: Gray relational analysis was used to evaluate the achievement level of universal health coverage in all countries, and to understand the key issues and constraints that affect the goal of universal health coverage in our country. Results: The ranking of achievement of universal health coverage in all countries in descending order was Britain, Germany, Cuba, Singapore, Thailand and China. The financing equity and fairness of health services became the key bottleneck that constrained China’s universal health coverage. Conclusion: Although the implementation of medical reform improves the availability of medical services and the service efficiency of the health system in our country, the comprehensive evaluation shows that there is still a gap between China and other countries in the world in terms of universal coverage of health coverage, And institutional integration on the multi-exploration.