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引用次数: 2
摘要
印度是一个快速发展的国家,在过去的25年里经历了一次重大的流行病学转变。根据印度州级疾病负担倡议,印度每个邦现在的非传染性疾病和伤害负担都高于传染病。在可持续发展目标愿景的启发下,减轻非传染性疾病的影响需要以预防、促进、治疗和康复服务为基础的综合办法。除了以社区为基础的方法外,印度2018-19年联邦预算中宣布的另一项重要声明是Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABY),旨在改变印度的初级、二级和三级医疗保健系统。在本文中,我们打算分析通过ABY在不同级别的公共卫生保健中提供的服务范围,以及在实现非传染性疾病全民健康覆盖目标方面可能存在的制约因素。
Scope of Management of Noncommunicable Diseases in India through Ayushman Bharat
Abstract India is a rapidly developing country, and has been going through a major epidemiological transition over the past 25 years. As per the India State-Level Disease Burden Initiative, every state of India now has a higher burden from noncommunicable diseases (NCDs) and injuries than from infectious diseases. Inspired by Sustainable Development Goal vision, mitigating the effect of NCDs will demand a comprehensive approach based on preventive, promotive, and curative cum rehabilitative services. Apart from the community-based approach, another key announcement made in the union budget of India, 2018–19, was the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABY) that intend to transform the primary, secondary, and tertiary health care system in India. In this article, we intend to analyze the scope of services offered through ABY at different levels of public health care, and possible constraints in realizing the goal of universal health coverage in terms of NCDs.