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医疗保健的公平可及性:勾勒行动基础

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

作者信息

Oliver Adam, Mossialos Elias

机构信息

London School of Economics, London, UK.

出版信息

J Epidemiol Community Health. 2004 Aug;58(8):655-8. doi: 10.1136/jech.2003.017731.

Abstract

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 health care 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.

摘要

智利、德国、希腊、新西兰、斯洛文尼亚、瑞典和英国的卫生部长们最近基于一个共同信念成立了“医疗保健服务共同获取国际论坛”,即他们的公民应享有普遍且公平的优质医疗保健服务。这些部长们打算建立一个网络,以分享有关改善医疗保健的思路和证据,其具体目标是维持和促进公平获取医疗保健服务。尽管关于获取公平性的概念有大量文献,但在该概念的确切含义方面,文献中尚未达成多少共识。本文简要描述了公平获取原则的相关性,并总结了将该原则转化为有用的、可操作的政策目标所需的研究计划。

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