关键词: Health insurance Supplementary insurance Universal health coverage

来  源:   DOI:10.47176/mjiri.38.28   PDF(Pubmed)

Abstract:
UNASSIGNED: The gradual movement towards universal health coverage (UHC) is an important issue in many countries. The aim of this study is to identify the role of supplementary health insurance in achieving universal coverage.
UNASSIGNED: This comprehensive review study was conducted to identify the role of supplementary health insurance in achieving universal health coverage. 4894 articles were found in the search in databases (Scopus, PubMed, and Web Science), and finally42 articles were selected. Considering the criteria of titles and abstracts, the reviewed articles were assessed, and a thematic analysis approach was used to analyze the collected data.
UNASSIGNED: The review showed 52 Sub dimensions in 7 dimensions. Policymakers can draw on international experiences to ensure that private health insurance contributes to achieving universal health coverage by Providing clarity within the national health financing policy framework regarding the role of private health insurance. Enhancing understanding of how supplementary health insurance impacts the performance of the healthcare system. They are improving oversight of private health insurance, regulating financial protection and consumer support, and implementing thorough market surveillance and proper allocation of health subsidies between the private and public sectors.
UNASSIGNED: Supplementary insurance holds promise as a complementary tool in achieving universal health coverage. Addressing gaps in primary insurance and providing additional financial protection can contribute to enhanced access, improved quality of care, and reduced financial barriers to healthcare services. However, careful attention must be given to affordability, equity, regulation, and coordination with primary insurance schemes to ensure its effective implementation and prevent unintended consequences.
摘要:
逐步向全民健康覆盖(UHC)迈进是许多国家的重要问题。这项研究的目的是确定补充健康保险在实现全民覆盖中的作用。
进行了这项全面的回顾研究,以确定补充健康保险在实现全民健康覆盖中的作用。在数据库中的搜索中发现了4894篇文章(Scopus,PubMed,和网络科学),最后选出42篇文章。考虑到标题和摘要的标准,对审查过的文章进行了评估,并采用专题分析方法对收集的数据进行分析。
评论显示了7个维度中的52个子维度。决策者可以借鉴国际经验,通过在国家卫生筹资政策框架内澄清私人健康保险的作用,确保私人健康保险有助于实现全民健康覆盖。增强对补充健康保险如何影响医疗保健系统绩效的理解。他们正在改善对私人医疗保险的监督,规范金融保护和消费者支持,并在私营和公共部门之间实施全面的市场监督和适当的卫生补贴分配。
补充保险有望成为实现全民健康覆盖的补充工具。弥补初级保险方面的差距和提供额外的财政保护有助于增加获得,提高护理质量,减少医疗服务的财务障碍。然而,必须仔细注意负担能力,股本,regulation,并与主要保险计划进行协调,以确保其有效实施并防止意外后果。
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