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Selective Universalism: The Paradoxical Strategy to Achieve Universal Health Coverage in India

机译:选择性普遍主义:在印度实现普遍健康覆盖的矛盾战略

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摘要

Universal health coverage (UHC), goal three of the Sustainable Development Goals (SDGs), has been on the agenda for some time now. However, India has not been able to achieve the less ambitious targets of Health for All (HFA) and the Millennium Development Goals (MDGs). In this context, this article identifies inefficiency as one key factor affecting progress towards UHC. One of the key contributors to inefficiency is lack of evidence-informed decisions in India. Using evidence from economic evaluation and global burden of disease study, seven cost-effective targets have been identified for prioritization in the Indian context. It is proposed that a selective approach targeting these seven targets would be a more efficient way of addressing the challenge of UHC in India.
机译:普遍健康覆盖率(UHC),目标三个可持续发展目标(SDGS)现在已经在议程上了一段时间。 然而,印度无法实现所有(HFA)和千年发展目标(MDGS)的雄心勃勃的健康目标。 在这种情况下,本文将效率识别为影响UHC进展的一个关键因素。 效率低下的主要贡献者之一是印度缺乏证据知情的决定。 使用来自经济评估和全球疾病研究负担的证据,已经确定了七种成本效益的目标,以便在印度语境中得到优先级。 建议,针对这七个目标的选择性方法将是解决UHC在印度的挑战的更有效方式。

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