Universal Health Coverage and Primary Healthcare: Lessons From Japan Comment on "Achieving Universal Health Coverage by Focusing on Primary Care in Japan: Lessons for Low- and Middle-Income Countries".
Universal Health Coverage and Primary Healthcare: Lessons From Japan Comment on "Achieving Universal Health Coverage by Focusing on Primary Care in Japan: Lessons for Low- and Middle-Income Countries".
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DOI：
10.15171/ijhpm.2016.120
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发表时间：
2017-04-01
影响因子：
3.5
通讯作者：
Bloom G
中科院分区：
文献类型：
--
作者：
Bloom G
池上直树（Naoki Ikegami）最近的一篇社论提出了日本实现基本医疗服务几乎全民覆盖的三个关键经验教训：需要将现有的基本医疗服务提供者整合到有组织的卫生系统中;需要限制政府对医院服务的资助承诺，以及需要授权基本医疗服务提供者影响其生计的决策。虽然中低收入国家的情况与19世纪末20世纪初的日本有很多不同，但实现全民覆盖的短期举措需要理解影响长期变化管理的因素，这一教训仍然非常重要。
A recent editorial by Naoki Ikegami has proposed three key lessons from Japan’s experience of achieving virtually universal coverage with primary healthcare services: the need to integrate the existing providers of primary healthcare services into the organised health system; the need to limit government commitments to finance hospital services and the need to empower providers of primary healthcare to influence decisions that influence their livelihoods. Although the context of low- and middle-income countries (LMICs) differs in many ways from Japan in the late 19th and early 20th centuries, the lesson that short-term initiatives to achieve universal coverage need to be complemented by an understanding of the factors influencing long-term change management remains highly relevant.