可持续发展目标、全民健康覆盖和卫生系统公平:土著人民共同做法。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2016-07-11 eCollection Date: 2016-01-01 DOI:10.1017/gheg.2016.8
Y S Wong, P Allotey, D D Reidpath
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引用次数: 14

摘要

全民健康覆盖是可持续发展目标中的一项关键卫生具体目标,具有将公平的社会发展和经济发展联系起来的手段。作为一个坚定地以公平为基础的概念,它在国际和国家各级被广泛接受,因为它对人口特别是边缘群体实现"人人享有健康"很重要。然而,实现全民覆盖一直充满挑战,医疗保健服务日益私有化也增加了这一挑战,因为它是在一个建立在助长不平等的财产制度基础上的卫生系统中实施的。这篇论文提出了这样一个问题:“一个公平的卫生系统是什么样子的?”而不是通常的“如何使现有的卫生系统更加公平?”作者使用人种学方法,通过访谈、焦点小组讨论和参与者观察探索了一个使用公地方法(例如存在于土著人民中的方法)的卫生系统,并发现了有助于使该系统本质上公平的特征。基于这些特点,本文提出了组织全民健康覆盖的替代基础,这将更好地确保卫生系统的公平性,并最终有助于实现可持续发展目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sustainable development goals, universal health coverage and equity in health systems: the Orang Asli commons approach.

Universal health coverage is a key health target in the Sustainable Development Goals (SDGs) that has the means to link equitable social and economic development. As a concept firmly based on equity, it is widely accepted at international and national levels as important for populations to attain 'health for all' especially for marginalised groups. However, implementing universal coverage has been fraught with challenges and the increasing privatisation of health care provision adds to the challenge because it is being implemented in a health system that rests on a property regime that promotes inequality. This paper asks the question, 'What does an equitable health system look like?' rather than the usual 'How do you make the existing health system more equitable?' Using an ethnographic approach, the authors explored via interviews, focus group discussions and participant observation a health system that uses the commons approach such as which exists with indigenous peoples and found features that helped make the system intrinsically equitable. Based on these features, the paper proposes an alternative basis to organise universal health coverage that will better ensure equity in health systems and ultimately contribute to meeting the SDGs.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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