Growing debt burden in low- and middle-income countries during COVID-19 may constrain health financing.
Growing debt burden in low- and middle-income countries during COVID-19 may constrain health financing.
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DOI：
10.1080/16549716.2022.2072461
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发表时间：
2022-12-31
影响因子：
2.6
通讯作者：
Martinez-Alvarez, Melisa
中科院分区：
文献类型：
--
作者：
Federspiel, Frederik;Borghi, Josephine;Martinez-Alvarez, Melisa
低收入和中等收入国家(LMIC)的债务负担正在稳步增加，再加上新冠肺炎经济衰退，有可能挤出基本的医疗支出。2019年，54家LMIC在偿还外国债权人债务方面的支出超过了为其医疗服务融资的支出。虽然发展贷款可能对人口健康产生积极影响，但随之而来的偿债要求可能对健康产生不利影响，因为政府保健支出的财政空间有限。然而，现有证据不足以理解债务是否以及如果是的话，如何以及在什么情况下可能限制政府医疗支出。我们呼吁对债务对卫生筹资的影响进行更多的研究，并呼吁债权人和借款人认真考虑贷款对借款国为其卫生服务提供资金的能力的潜在影响。
Debt burdens are growing steadily in Low- and Middle-Income Countries (LMICs), compounded by the COVID-19 economic recession, threatening to crowd out essential health spending. In 2019, 54 LMICs spent more on servicing their debt to foreign creditors than on financing their health services. While development loans may have positive effects on population health, the ensuing debt servicing requirements may have detrimental effects on health through constrained fiscal space for government health spending. However, the existing evidence is inadequate for an understanding of whether, and if so how and under what circumstances, debt may constrain government health spending. We call for more research on the impacts of debt on health financing and call on creditors and borrowers to carefully consider the potential impacts of lending on borrower countries’ ability to finance their health services.
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DOI：
10.1016/s0140-6736(21)02143-7
发表时间：
2021-11-06
期刊：
Lancet (London, England)
影响因子：
--
作者：
COVID-19 Mental Disorders Collaborators
通讯作者：
COVID-19 Mental Disorders Collaborators
DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
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作者：
Chmielewska B;Barratt I;Townsend R;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Le Doare K;Ladhani S;von Dadelszen P;Magee L;Khalil A
通讯作者：
Khalil A
影响因子：
5.4
作者：
Liang, Li-Lin;Mirelman, Andrew J.
通讯作者：
Mirelman, Andrew J.
DOI：
10.2471/blt.08.053686
发表时间：
2008-11-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
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作者：
Kaddar, M;Furrer, E
通讯作者：
Furrer, E
影响因子：
5.4
作者：
Stubbs, Thomas;Kentikelenis, Alexander;King, Lawrence
通讯作者：
King, Lawrence