Equity of access to health care: outlining the foundations for action

Equity of access to health care: outlining the foundations for action
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DOI:
10.1136/jech.2003.017731
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发表时间:
2004-08-01
影响因子:
6.3
通讯作者:
Mossialos, E
Mossialos, E
中科院分区:
医学2区
文献类型:
--
作者:
Oliver, A;Mossialos, E

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智利、德国、希腊、新西兰、斯洛文尼亚、瑞典和联合王国的卫生部长最近建立了共同获得保健服务国际论坛,其共同信念是,这些国家的公民应当普遍和平等地获得优质保健服务。部长们打算建立一个网络,分享关于医疗保健改进的想法和证据,具体目的是维持和促进公平获得医疗保健。尽管有大量文献阐述了获取公平的概念,但在这一概念的确切含义上,文献中几乎没有达成一致意见。本文简要说明了公平准入原则的相关性,并概述了将该原则转变为有用的、可操作的政策目标所必需的研究方案。
The Ministers of Health from Chile, Germany, Greece, New Zealand, Slovenia, Sweden, and the United Kingdom recently established The International Forum on Common Access to Health Care Services, based on a common belief that their citizens should enjoy universal and equitable access to good quality health care. The ministers intend to form a network to share thinking and evidence on healthcare improvements, with the specific aim of sustaining and promoting equitable access to health care. Despite a vast literature on the notion of equity of access, little agreement has been reached in the literature on exactly what this notion ought to mean. This article provides a brief description of the relevance of the access principle of equity, and summarises the research programme that is necessary for turning the principle into a useful, operational policy objective.