Going universal in Africa : how 46 African countries reformed user fees and implemented health care priorities
Going universal in Africa : how 46 African countries reformed user fees and implemented health care priorities
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非洲普及：46 个非洲国家如何改革使用费并实施医疗保健优先事项
DOI：
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Nicolas Rosemberg
中科院分区：
文献类型：
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作者：
D. Cotlear;Nicolas Rosemberg
本文件介绍了非洲国家目前为扩大卫生覆盖面而采用的卫生筹资政策。它确定了非洲国家使用的主要卫生筹资政策，并衡量了在使用这些政策方面存在的区域模式。本文件并不试图确定最佳做法，也不试图衡量政策的有效覆盖面或其影响。相反，它的目的是通过系统地描述整个区域现有的卫生筹资政策，增加现有文献的价值。该研究最后讨论了其研究结果对规划下一步促进全民健康的影响。本文的其余部分组织如下。第2节介绍了研究中使用的概念框架和方法。第3节介绍了非洲国家为扩大保健覆盖面而选择的不同途径。第4节和第5节介绍了在这一过程中使用的两个关键工具：全民基本保健服务和亚人口健康覆盖方案。第6节详细审查了成功执行这些政策所需的一些技术手段。第7节利用该文件的调查结果讨论了实施更广泛的一揽子福利以推进全民健康覆盖的成本估计。本文最后总结了调查结果及其影响。
This paper describes the health financing policies used today by African countries to expand health coverage. It identifies key health financing policies used by African countries and measures the existence of regional patterns in the use of these policies. The paper does not attempt to identify best practices, nor does it try to measure the effective coverage of the policies or their impact. Rather, it aims to add value to the existing literature by providing a systematic portrayal of the health financing policies that are in place across the region. The study concludes with a discussion about the implications of its findings for planning next steps to advance universal health. The rest of the paper is organized as follows. Section 2 describes the conceptual framework and methodology used in the study. Section 3 describes the different paths chosen by African countries to expand health coverage. Sections 4 and 5 describe the two key instruments used in that journey: the universal basic package of health services and the subpopulation health coverage programs. Section 6 reviews in detail some of the technical instruments required for the successful implementation of these policies. Section 7 uses the findings of the paper to discuss the cost estimations of implementing a broader benefit package to advance universal health coverage. The paper concludes with a summary of the findings and their implications.