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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >The Egyptian health map: a guide for evidence-based decisionmaking
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The Egyptian health map: a guide for evidence-based decisionmaking

机译：埃及健康地图：循证决策指南

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Background : The Egyptian health system is characterized by the multiple entities in charge of service regulation, financing and provision. Moreover, health outcomes in Egypt mirror epidemiologic transition; increasing prevalence of noncommunicable diseases (NCDs) and persistent high levels of selected communicable diseases (CDs) place a huge financial burden on the health system’s limited resources. This together with financial inefficiencies aggravate inequality in health services coverage and health outcomes. Aims: We aimed to map and link health services with key health outcomes to support efficient utilization of scarce resources and achieving Universal Health Coverage (UHC). Methods : Data on health services and health outcomes were obtained from the Ministry of Health and Population and key national surveys for the year 2014. Data on health services’ availability and coverage were compared in different geographical regions. Correlation analysis was used to test the relation between selected service availability indicators and mortality rates from key NCDs. Results : There was a high coverage of key maternal and child health services. However, there was in general low achievement of national targets for service availability as well as wide geographical disparities. Cardiovascular diseases were the leading cause of death and there was a marked reduction in the incidence of major CDs in Egypt, particularly vaccine preventable diseases. Conclusion : Wide geographical disparities and increased burden of NCDs and their risk factors are identified as key challenges facing the healthcare system in Egypt. Priority setting in the light of these findings is crucial to support national efforts to attain health equity and UHC.
机译：背景：埃及卫生系统的特征是由多个实体负责服务监管，融资和提供。此外，埃及的健康状况反映了流行病学转变。非传染性疾病（NCD）的患病率不断上升，某些传染性疾病（CDs）持续高水平给卫生系统有限的资源带来了巨大的财务负担。这加上财务效率低下，加剧了卫生服务覆盖率和卫生结果方面的不平等。目标：我们旨在将卫生服务与关键卫生成果进行映射和链接，以支持有效利用稀缺资源并实现全民健康覆盖（UHC）。方法：从卫生和人口部以及2014年全国主要调查中获得卫生服务和健康结果的数据。比较了不同地理区域的卫生服务的可用性和覆盖率数据。相关分析用于检验选定的服务可用性指标与主要非传染性疾病死亡率之间的关系。结果：重点妇幼保健服务覆盖率很高。但是，总体而言，国家在提供服务方面的目标很少实现，而且地理差异很大。心血管疾病是主要的死亡原因，埃及主要CD的发病率显着下降，尤其是疫苗可预防的疾病。结论：广泛的地域差异和非传染性疾病及其风险因素的负担增加是埃及医疗系统面临的主要挑战。根据这些发现确定优先重点对于支持国家为实现卫生公平和UHC所做的努力至关重要。

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