Colombia's Universal Health Insurance System

Colombia's Universal Health Insurance System
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DOI:
10.1377/hlthaff.28.3.853
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发表时间:
2009-05-01
期刊:
影响因子:
9.7
通讯作者:
Uribe, Manuela Villar
Uribe, Manuela Villar
中科院分区:
医学1区
文献类型:
--
作者:
Giedion, Ursula;Uribe, Manuela Villar

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哥伦比亚为80%以上的人口提供了保险,这为就一个激烈辩论的卫生政策问题收集证据提供了宝贵的机会。评估哥伦比亚全民健康保险影响的三项研究结果表明,全民健康保险大大增加了获得和使用卫生服务的机会,甚至包括那些对所有人免费的服务,并减少了灾难性卫生支出的发生率。对于那些最容易受到健康冲击的人,即生活在农村地区的人、最贫穷的人和个体经营者,影响更为显著。[卫生事务28,no. 1]3 (2009): 853-863;10.1377 / hlthaff.28.3.853]
By insuring more than 80 percent of its population, Colombia provides a valuable opportunity to gather evidence on a hotly debated health policy issue. Results from three studies evaluating the impact of universal health insurance in Colombia show that it has greatly increased access to and use of health services, even those that are free for all, and has reduced the incidence of catastrophic health spending. The impact has been more dramatic among those most vulnerable to health shocks: those living in rural areas, the poorest, and the self-employed. [Health Affairs 28, no. 3 (2009): 853-863; 10.1377/hlthaff.28.3.853]