标题:Which UHC? Features for Equity and Universalism Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"
期刊名称:International Journal of Health Policy and Management
电子版ISSN:2322-5939
出版年度:2022
卷号:11
期号:5
页码:704-707
DOI:10.34172/ijhpm.2021.89
语种:English
出版社:Kerman University of Medical Sciences
摘要:Equity and universality are implicit in universal health coverage (UHC), although ambiguity has led to differing interpretations and policy emphases that limit their achievement. Diverse country experiences indicate a policy focus on differences in service availability and costs of care, and neoliberal policies that have focused UHC on segmented financing and disease-focused benefit packages, ignoring evidence on financing, service, rights-based and social features that enable equity, continuity of care and improved population health. Public policies that do not confront these neoliberal pressures limit equity-promoting features in UHC. In raising the impetus for UHC and widening public awareness of the need for public health systems, coronavirus disease 2019 (COVID-19) presents an opportunity for challenging market driven approaches to UHC, but also a need to make clear the features that are essential for ensuring equity in the progression towards universal health systems.
关键词:enHeath PolicyHealth SystemsPrimary HealthcareHealth EquityUniversal Health Coverage