Global health security and universal health coverage: from a marriage of convenience to a strategic, effective partnership
Global health security and universal health coverage: from a marriage of convenience to a strategic, effective partnership
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DOI：
10.1136/bmjgh-2018-001145
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发表时间：
2019-02-01
影响因子：
8.1
通讯作者：
Sridhar, Devi
中科院分区：
文献类型：
--
作者：
Wenham, Clare;Katz, Rebecca;Sridhar, Devi
全球卫生安全和全民医保常常被视为"同一枚硬币的两面"。然而，这两种理想是否和在哪里汇合，以及存在哪些重要差异，还需要进行更多的分析。忽视其个别特点的后果是，为了简化决策和供资活动，扭曲了全球和地方的卫生优先事项。本文从概念和经验两个方面探讨了全球卫生安全和全民健康覆盖之间的趋同和差异。我们认为风险和人权的分析概念是这两个目标的基础，但也确定了两个理想之间的优先事项的差异。我们支持这样的论点，即加强卫生系统的进程提供了有利于实现这两个目标的最有希望的机制。
Global health security and universal health coverage have been frequently considered as "two sides of the same coin". Yet, greater analysis is required as to whether and where these two ideals converge, and what important differences exist. A consequence of ignoring their individual characteristics is to distort global and local health priorities in an effort to streamline policymaking and funding activities. This paper examines the areas of convergence and divergence between global health security and universal health coverage, both conceptually and empirically. We consider analytical concepts of risk and human rights as fundamental to both goals, but also identify differences in priorities between the two ideals. We support the argument that the process of health system strengthening provides the most promising mechanism of benefiting both goals.