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Perspectives of academia on advancing the agenda of Universal Health Coverage in India

机译：学术界对推进印度全民健康覆盖议程的看法

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Universal health coverage (UHC) is currently at the center of discussion to strengthen health systems and improve health outcomes. The design and delivery of UHC requires an active engagement of various stakeholders viz. policy makers, program managers, civil society, private sector, academia and health professional associations. However, limited information is available on engagement of academia in discussions related to UHC. This study attempted to examine the perspectives of academia on advancing the agenda of UHC in India. A cross-sectional qualitative study was conducted with 62 stakeholders which included deans and senior faculty from 17 government and 15 private medical institutions across India, using a semi-structured questionnaire. Data analysis was done through free listing of responses, domain evolution and using qualifiers for semi-quantitative expressions. Clarity on concept of UHC and awareness on UHC developments was found low amongst stakeholders. It was strongly believed that not just tertiary care services but primary health care is more critical for UHC to succeed. Besides the responsibility of government, engaging other organizations was underlined. Approximately half of the respondents mentioned that their organization can support the provision of providing promotive, preventive, curative, and rehabilitative health services to achieve UHC. Stakeholders also felt that the tax-based and private health insurance can act complementary to each other, and should be promoted to improve health services coverage. Findings suggest that there is a strong need for engagement of academia for marching towards the goal of UHC. South East Asia Journal of Public Health Vol.5(2) 2015: 50-56
机译：目前，全民健康覆盖（UHC）处于讨论的中心，以加强卫生系统并改善健康结果。 UHC的设计和交付需要各利益相关方的积极参与，即。政策制定者，项目经理，民间社会，私营部门，学术界和卫生专业协会。但是，关于学术界参与与UHC有关的讨论的信息很少。这项研究试图研究学术界对推进印度UHC议程的看法。使用半结构化问卷，与来自印度17个政府和15个私人医疗机构的62位利益相关者进行了横断面定性研究。数据分析通过自由列出响应，域演化以及使用半定量表达式的限定词来完成。在利益攸关方中，人们对UHC概念的了解和对UHC发展的认识不高。强烈认为，不仅三级医疗服务，而且初级卫生保健对于UHC的成功至关重要。除了政府的责任外，还强调了与其他组织的互动。大约一半的受访者提到，他们的组织可以支持提供促进性，预防性，治愈性和康复性健康服务以实现UHC。利益相关者还认为，以税收为基础的医疗保险和私人医疗保险可以相互补充，应予以推广，以改善医疗服务的覆盖面。研究结果表明，学术界非常需要朝着UHC的目标迈进。东南亚公共卫生杂志Vol.5（2）2015：50-56

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