Addressing the Cost Data Gap for Universal Healthcare Coverage in India: A Call to Action
Addressing the Cost Data Gap for Universal Healthcare Coverage in India: A Call to Action
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DOI：
10.1016/j.vhri.2019.11.003
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发表时间：
2020-05-01
影响因子：
2
通讯作者：
Guinness, Lorna
中科院分区：
文献类型：
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作者：
Prinja, Shankar;Chauhan, Akashdeep Singh;Guinness, Lorna
印度卫生系统正在进行重大的改革，以制定更有证据依据和包容性的卫生政策，因为该国正在努力实现其13亿人口的全民健康覆盖。成本信息在全民健康保险政策的证据库中发挥着关键作用，为政府赞助的医疗保险一揽子保健的报销率设定等决策提供信息，战略性购买卫生服务，并优先考虑可用资源以最大限度地提高卫生部门投资的价值。然而，印度广泛和高质量的卫生设施成本数据有限。因此，产生和传播医疗保健成本信息的需求越来越迫切。本文讨论了成本信息的必要性和目前正在推进这一议程的举措。第一个是一个国家成本数据库和网站，由一个卫生研究机构联盟从印度6个邦的200个公共部门设施收集的各级保健服务系统的成本数据。该数据库是印度首个此类数据库，将成为研究人员和决策者获取医疗保健成本信息的中心资源。第二个是一项全国性的私人和公共医疗机构的成本研究。通过改善印度成本数据的可获得性，提高其知名度并展示其效用，希望该数据库和新的成本计算工作将使人们进一步认识到高质量数据对制定卫生政策的重要性，并使决策更加循证。
The Indian health system is undergoing significant reform toward more evidence-informed and inclusive health policy as the country strives toward the achievement of Universal Health Coverage for its 1.3 billion population. Cost information plays a key role in the evidence arsenal of Universal Health Coverage-oriented policy by informing decisions such as the setting reimbursement rates for government-sponsored health insurance packages of care, strategic purchasing of health services, and in prioritizing available resources to maximize value of health sector investments. However, extensive and quality health facility cost data in India are limited. As a result, there is an increasing and urgent need to generate and disseminate healthcare cost information. This article discusses the need for cost information and the current initiatives that are progressing this agenda. The first is a national cost database and website hosting cost data collected from 200 public sector facilities across 6 Indian states at each level of the care delivery system by a consortium of health research institutes. This database is the first of its kind in India and will serve as a central resource for researchers and decision-makers for information on healthcare costs. The second is a nationwide costing study of healthcare at both private and public facilities. By improving the availability of cost data in India, raising its profile and demonstrating its utility, it is hoped that the database and new costing efforts will lead to greater recognition of the importance of good quality data to inform health policy and enable more evidence-informed decision-making.