Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Department of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan.
Int J Environ Res Public Health. 2023 May 8;20(9):5754. doi: 10.3390/ijerph20095754.
A wider range of social protection services, including social insurance and social assistance, are gaining global attention as a key driver of improved health service coverage and financial protection among vulnerable populations. However, only a few studies have investigated the associations between social protection and universal health coverage (UHC). Therefore, we conducted a literature review on relevant international organizations with respect to this topic. We found that many international organizations consider the wide range of social protection services, including social insurance and social assistance, essential for achieving UHC in 2030. In specific health programs, social protection is considered an important service to promote health service access and financial protection, especially among vulnerable populations. However, discussions about social protection for achieving UHC are not given high priority in the World Health Organization. Currently, the coverage of social protection services is low among vulnerable populations in low- and middle-income countries. To address this issue, we employed the metrics recommended by the migrant integration policy index (MIPEX). Based on our findings, a conceptual framework was developed. We expect this framework to lead synergy between social protection and health systems around the globe, resulting in healthy ageing.
更广泛的社会保护服务,包括社会保险和社会援助,作为改善弱势群体卫生服务覆盖和财务保障的关键驱动因素,正受到全球关注。然而,仅有少数研究调查了社会保护与全民健康覆盖(UHC)之间的关联。因此,我们对相关国际组织就这一主题进行了文献综述。我们发现,许多国际组织认为广泛的社会保护服务,包括社会保险和社会援助,对于实现 2030 年的全民健康覆盖至关重要。在具体的卫生方案中,社会保护被视为促进卫生服务获取和财务保障的重要服务,特别是针对弱势群体。然而,世界卫生组织并没有高度重视关于社会保护以实现全民健康覆盖的讨论。目前,在中低收入国家的弱势群体中,社会保护服务的覆盖面较低。为了解决这一问题,我们采用了移民融合政策指数(MIPEX)所推荐的指标。根据我们的研究结果,制定了一个概念框架。我们期望该框架能够在全球范围内促进社会保护和卫生系统之间的协同作用,实现健康老龄化。