全民健康覆盖的内涵界定与测量框架

Connotation and measurement of Universal Health Coverage

"全民健康覆盖"的概念提出以来,学术界对这一概念存在着不同的理解和诠释。本研究从"人人享有卫生保健"角度,结合中国实践,探讨"全民健康覆盖"的内涵,认为这一概念应包括风险保护、服务提供、服务获得、服务结果四方面核心要素,可以从经济可负担性、服务可提供性、服务可获得性、体系有效性四个维度进行测量。下一步的研究重点应是建立起具有可操作性的指标体系和数学模型,并在实践中予以检验和不断完善。

Since the Universal Health Coverage （UHC） concept was proposed, there are still different understandings and interpretations of it in the academic world. Combining with China＇s practice, this study discusses the connotation of UHC from the perspective of health for all UHC, including risk protection converge, service delivery, service access, and service results, should be measured in terms of service affordability, deliverability, availability, and effectiveness. Future research should focus on establishing a workable index system and mathematical models that can be tested and improved in practice.