Priority-setting for achieving universal health coverage.
Priority-setting for achieving universal health coverage.
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DOI：
10.2471/blt.15.155721
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发表时间：
2016-06-01
影响因子：
11.1
通讯作者：
Culyer AJ
中科院分区：
文献类型：
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作者：
Chalkidou K;Glassman A;Marten R;Vega J;Teerawattananon Y;Tritasavit N;Gyansa-Lutterodt M;Seiter A;Kieny MP;Hofman K;Culyer AJ
在2012年联合国通过一项关于全民健康覆盖的决议并将其纳入2015年确定的可持续发展目标之后，低收入和中等收入国家政府正在使全民健康覆盖（UHC）的实施合法化。全民健康覆盖在每个国家的情况和需求以及卫生保健的需求和供应将有所不同。因此，政策制定者和利益攸关方提出了全民健康覆盖的目标、使用者和成本效益等基本问题。虽然卫生当局每天都在含蓄或明确地确定优先事项，但尚未明确如何为全民健康覆盖确定优先事项。我们为明确确定卫生重点提供了理由，并就如何确定全民健康覆盖重点向各国提供了指导。
Governments in low- and middle-income countries are legitimizing the implementation of universal health coverage (UHC), following a United Nation’s resolution on UHC in 2012 and its reinforcement in the sustainable development goals set in 2015. UHC will differ in each country depending on country contexts and needs, as well as demand and supply in health care. Therefore, fundamental issues such as objectives, users and cost–effectiveness of UHC have been raised by policy-makers and stakeholders. While priority-setting is done on a daily basis by health authorities – implicitly or explicitly – it has not been made clear how priority-setting for UHC should be conducted. We provide justification for explicit health priority-setting and guidance to countries on how to set priorities for UHC.