Defining a Health Benefits Package: What Are the Necessary Processes?

Defining a Health Benefits Package: What Are the Necessary Processes?
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DOI:
10.1080/23288604.2016.1124171
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发表时间:
2016-01-01
影响因子:
4.1
通讯作者:
Smith, Peter C.
Smith, Peter C.
中科院分区:
医学2区
文献类型:
--
作者:
Glassman, Amanda;Giedion, Ursula;Smith, Peter C.

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全世界都对全民健康保险(UHC)的概念产生了极大的兴趣。转向UHC的一个主要政策重点一直是关键的政策问题:应该提供什么服务,在什么条件下?在这篇文章中,我们关注的是如何明确定义一套可行的UHC服务,以创建通常所知的“健康福利一揽子计划”(HBP),这是一套可以在特定国家的实际情况下获得可行资金并提供的服务。我们解释了为什么明确的HBP声明是重要的,然后描述了一个框架,该框架包括十个核心要素,如果要建立一个连贯和可持续的制定HBP的过程,这些要素是必不可少的。
There is immense interest worldwide in the notion of universal health coverage (UHC). A major policy focus in moving toward UHC has been on the key policy question: what services should be made available and under what conditions? In this article we are concerned with how a feasible set of UHC services can be explicitly defined to create what is commonly known as a "health benefits package" (HBP), a set of services that can be feasibly financed and provided under the actual circumstances in which a given country finds itself. We explain why an explicit statement of the HBP is important and then describe a framework that includes ten core elements that are indispensable if a coherent and sustainable process for setting the HBP is to be established.