气候与健康:通往战略性共同筹资之路?

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Josephine Borghi, Soledad Cuevas, Blanca Anton, Domenico Iaia, Giulia Gasparri, Mark A Hanson, Agnès Soucat, Flavia Bustreo, Etienne V Langlois
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引用次数: 0

摘要

摒弃孤立的融资方式,采用旨在改善两个部门成果的共同融资战略,是实现健康和气候投资共同效益的最佳途径。我们提出了一个研究健康与气候共同融资的框架,该框架考虑了部门资金之间的整合程度,以及当跨部门目标受到间接影响时,这些安排是 "被动的",还是 "战略性的",即预先支持这些目标以建立复原力和可持续性。我们进行了一次严格的、以证据为重点的审查,以根据一个框架描述共同融资机制,包括这些机制的应用环境,并确定实施的促进因素和障碍。我们使用 Pubmed 和 Web of Science 搜索了 2013 年至 2023 年的国际文献、主要卫生和气候机构网站上的灰色文献,并咨询了利益相关者。我们的研究强调了气候变化和相关灾害对政府、医疗保险和家庭健康相关成本的重大影响。目前的证据主要涉及被动共同筹资,反映了不作为的财务后果。战略性共同筹资以及需要跨部门协调的综合性共同筹资模式还在探索之中。目前的战略性共同筹资缺乏足够的资金来证明其有效性。气候融资是一种未得到充分利用的卫生资源,具有为卫生事业创造额外收入的潜力。要实现这些优势,就必须进行共同效益监测,使卫生、气候减缓和适应目标保持一致,同时更有力地宣传卫生投资的经济和环境效益。战略性共同筹资安排在所有系统层面都至关重要,要求加强跨部门合作,提供更多资金和技能,将气候问题纳入卫生部门的计划和预算,并将卫生工作纳入气候适应和减缓计划的主流。支持灾后持续的健康需求,促进针对健康和气候风险的适应性社会保护,以及在国家内部和国家之间传播最佳做法,这些都是至关重要的,同时还需要得到强有力的评估支持,以加强进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Climate and health: a path to strategic co-financing?

Leveraging the co-benefits of investments in health and climate can be best achieved by moving away from isolated financing approaches and adopting co-financing strategies, which aim to improve the outcomes of both sectors. We propose a framework for studying co-financing for health and climate that considers the degree of integration between sector funding, and whether arrangements are 'passive', when cross-sectoral goals are indirectly affected, or 'strategic', when they are pre-emptively supported to build resilience and sustainability. We conducted a rigorous, evidence-focused review to describe co-financing mechanisms according to a framework, including the context in which they have been employed, and to identify enablers and barriers to implementation. We searched the international literature using Pubmed and Web of Science from 2013 to 2023, the websites of key health and climate agencies for grey literature and consulted with stakeholders. Our review underscores the significant impact of climate change and related hazards on government, health insurance and household health-related costs. Current evidence primarily addresses passive co-financing, reflecting the financial consequences of inaction. Strategic co-financing is under explored, as are integrative co-financing models demanding cross-sectoral coordination. Current instances of strategic co-financing lack sufficient funding to demonstrate their effectiveness. Climate finance, an under used resource for health, holds potential to generate additional revenue for health. Realizing these advantages necessitates co-benefit monitoring to align health, climate mitigation and adaptation goals, alongside stronger advocacy for the economic and environmental benefits of health investments. Strategic co-financing arrangements are vital at all system levels, demanding increased cross-sectoral collaboration, additional funding and skills for climate integration within health sector plans and budgets, and mainstreaming health into climate adaptation and mitigation plans. Supporting persistent health needs post-disasters, promoting adaptive social protection for health and climate risks, and disseminating best practices within and among countries are crucial, supported by robust evaluations to enhance progress.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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