22 landestudier og et nyt måleværktøj skal hjælpe lande kloden rundt med at træffe “kvalificerede beslutninger”, når de søger at tackle udfordringen om at sikre sundhedsydelser til alle borgere i en tid med økonomisk smalhals.
WASHINGTON, February 14, 2013: As a growing number of countries tackle the fiscal challenge (økonomiske udfordring) of providing universal health coverage (UHC) for their citizens, the World Bank Thursday released a set of 22 case studies of countries that have significantly expanded access to health care in the last decade.
The aim is to help countries make more informed health policy and program choices.
Researchers looked systematically at countries’ experiences with a set of parameters (måleinstrumenter)l related to achieving UHC, including designing and managing benefits packages, expanding coverage to the poorest and excluded populations, providing quality care, and health financing.
The 22 countries studied included:
Argentina, Brazil, Chile, China, Colombia, Costa Rica, Ethiopia, Georgia, Guatemala, India, Indonesia, Jamaica, Kenya, Kyrgyz Republic (Kirgisistan), Mexico, Nigeria, Peru, Philippines, Thailand, Tunisia, Turkey and Vietnam.
The Bank also released an analysis of the impact of UHC efforts in the developing world.
The studies show that although approaches to UHC vary, four-fifths or more of the countries share common implementation instruments.
These include:
* an explicitly defined benefits package,
* expansion of coverage financed by general taxation,
* enrollment requirements, and
* reform of public provision of health services.
All of them backed by strong political support.
Notable was that less than half of the countries studied had systems in place to monitor improvements in people’s health.
Lessons across the studies point to the need to ensure that the implementation of UHC is equitable (lige for alle), efficient, and sustainable—which requires the use of many instruments that strengthen the accountability (ansvarlighed) of all parties in the health sector.
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http://www.worldbank.org/en/news/press-release/2013/02/14/World-Bank-Group-releases-22-country-study-of-universal-health-coverage
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