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Universal coverage of health services: tailoring its implementation

机译:卫生服务的全民覆盖:量身定制实施方案

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摘要

In 2005, the Member States of WHO adopted a resolution encouraging countries to develop health financing systems capable of achieving and/or maintaining universal coverage of health services – where all people have access to needed health services without the risk of severe financial consequences. In doing this, a major challenge for many countries will be to move away from out-of-pocket payments, which are often used as an important source of fund collection. Prepayment methods will need to be developed or expanded but, in addition to questions of revenue collection, specific attention will also have to be paid to pooling funds to spread risks and to enable their efficient and equitable use. Developing prepayment mechanisms may take time, depending on countries’ economic, social and political contexts. Specific rules for health financing policy will need to be developed and implementing organizations will need to be tailored to the level that countries can support and sustain. In this paper we propose a comprehensive framework focusing on health financing rules and organizations that can be used to support countries in developing their health financing systems in the search for universal coverage.
机译:2005年,世卫组织会员国通过了一项决议,鼓励各国发展能够实现和/或保持医疗服务普遍覆盖的医疗筹资系统,使所有人都能获得所需的医疗服务,而不会造成严重的财务后果。为此,许多国家面临的主要挑战将是摆脱现款支付,后者通常被用作重要的筹款来源。预付款方法将需要发展或扩展,但除了税收问题外,还必须特别注意集中资金以分散风险并使其能够有效和公平地使用。开发预付款机制可能需要一些时间,具体取决于各国的经济,社会和政治环境。卫生筹资政策的具体规则将需要制定,而实施组织将需要针对各国能够支持和维持的水平进行调整。在本文中,我们提出了一个以卫生筹资规则和组织为重点的综合框架,可用于支持各国发展其卫生筹资系统以寻求全民覆盖。

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