Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage.
Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage.
复制标题
2019冠状病毒病下支离破碎的卫生系统：纠正全球卫生安全与全民健康覆盖之间的不协调。
DOI：
10.1016/s0140-6736(20)32228-5
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发表时间：
2021-01-02
期刊：
影响因子：
--
通讯作者：
Yates R
中科院分区：
文献类型：
--
作者：
Lal A;Erondu NA;Heymann DL;Gitahi G;Yates R
2019冠状病毒病大流行给世界各国带来了巨大压力，暴露了公共卫生领域长期存在的差距，加剧了长期存在的不平等现象。尽管研究和分析试图就如何加强大流行的防范和应对汲取重要经验教训，但很少有人审查分散的卫生治理对有效缓解危机的影响。通过从全球卫生政策的两种关键方法——全球卫生安全和全民健康覆盖——的角度评估卫生系统管理COVID-19的能力，可以为如何协调加强卫生系统的各种优先事项和目标吸取重要教训。本卫生政策文件比较了三种类型的卫生系统（即加强对全球卫生安全的投资，加强对全民健康覆盖的投资，以及对全球卫生安全和全民健康覆盖的综合投资）应对当前COVID-19大流行的情况，并综合了四项基本建议（即整合、融资、复原力和公平），以重新设想治理、政策、投资改善健康，实现更可持续的未来。
The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the crisis. By assessing the ability of health systems to manage COVID-19 from the perspective of two key approaches to global health policy—global health security and universal health coverage—important lessons can be drawn for how to align varied priorities and objectives in strengthening health systems. This Health Policy paper compares three types of health systems (ie, with stronger investments in global health security, stronger investments in universal health coverage, and integrated investments in global health security and universal health coverage) in their response to the ongoing COVID-19 pandemic and synthesises four essential recommendations (ie, integration, financing, resilience, and equity) to reimagine governance, policies, and investments for better health towards a more sustainable future.