Universal Health Coverage in Somalia: Charting the Path to Equitable Healthcare Financing and Governance

Somalia is a country facing numerous challenges in achieving universal health coverage (UHC) and ensuring adequate healthcare financing, This article explores the complexities and obstacles that Somalia must overcome in its pursuit of UHC, the paper begins by providing an overview of the current healthcare landscape in Somalia, highlighting the lack of infrastructure, political instability, and limited financial resources that hinder the establishment of a comprehensive and equitable healthcare system. It then examines the role of international aid and non-governmental organizations (NGOs) in filling the healthcare gap, while emphasizing the need for a more sustainable, domestically financed solution. Drawing on a range of data sources and case studies, the article proposes a multi-faceted approach to strengthen healthcare governance, improve resource allocation, and foster local capacity building, the study delves into the unique obstacles that Somalia faces, including a lack of infrastructure, political instability, and limited financial resources, which hinder the establishment of a comprehensive and equitable healthcare system. The paper also examines the role of international aid and non-governmental organizations (NGOs) in filling the healthcare gap, while highlighting the need for a more sustainable, domestically financed solution. The findings underscore the importance of political commitment, international cooperation, and innovative financing mechanisms in advancing towards UHC in Somalia, providing valuable insights for other low resource, conflict affected settings.

Impact of Dialysis Coverage on the Provision of Universal Health Insurance in the Republic of the Congo

Introduction: The launch of health insurance in the Republic of the Congo took place against a backdrop of extremely high costs for dialysis, which was not one of the services financed within this framework. The aim of this study is to assess the impact of including dialysis in the health insurance package in Congo. Methodology: This is a descriptive cross-sectional study with an evaluative aim, analyzing the impact of dialysis on the financing capacity of health insurance and health facilities to provide this type of care. Results: The results show that including dialysis in the universal health insurance package will require an additional financial effort of 6.20% of the current total financing capacity of the care basket. Most dialysis sessions are provided by the private health sector (87.5%), whose health facilities are unevenly distributed across the country, and concentrated in the country’s two major cities. This problem is the dual consequence of the very high cost of a dialysis session (average cost 140,234,375 FCFA or 229 US Dollars) and the number of patients under care, which will increase in the absence of effective and ongoing prevention efforts against chronic diseases in general and end-stage renal failure in particular. Conclusion: Dialysis is a high-impact public health intervention. The impact of its inclusion in the universal health insurance care package is difficult to bear financially. For dialysis to be covered by universal health insurance, additional funding and improved technical facilities are needed.

The Road to Universal Health Coverage in Myanmar Runs through Non-Communicable Disease Risk Factors: Supporting Evidence from WHO in 2009 and 2014 and the Global Burden of Disease Study 2016

Background: The recent surge in economic development in Myanmar will also contribute to accelerating the health burden shift from acute infectious to chronic non-communicable diseases (NCDs) across the country. With just 11 years to achieve its goal of universal health coverage by the year 2030, significant efforts will be needed to quantify the scale of the burden facing decision-makers about health system strengthening and redevelopment. Convergence of the health systems will be an additional challenge in Myanmar. Methods: Results from a WHO study in 2009 and 2014, combined with data from the 2016 Global Burden of Disease Study, were compiled and analysed for Myanmar to assess the levels and trends of selected NCDs and NCD risk factors. Results: The prevalence of major NCDs in Myanmar are in general higher than global and regional averages, with a significant increase in diabetes mellitus and chronic obstructive pulmonary diseases in the last 25 years. Major NCD risk factors in Myanmar include smoking, use of smokeless tobacco, alcohol consumption among men, low level of fruit and vegetable consumption, hypertension, and emerging of overweight and obesity, especially among women. Tobacco use increased in both sexes between 2009 and 2014, but only significantly in men. Rates of hypertension increased for both men and women, including those currently on medications—suggesting a need for better treatment regimens. Overweight and obesity rates increased in both men and women, although the increase in obesity for men was not significant. Alcohol consumption results were mixed—with lower levels of high level drinking in men, but generally increased consumption by women. Intake of fruit and vegetables increased slightly between 2009 and 2014 and rates of high levels of physical activity also increased. Diabetes prevalence rates increased significantly in women (X2 = 11.3;p = 0.01) and men (X2 = 9.6;p = 0.02) between 2009 and 2014. Conclusions: Improved awareness of risk factors, coupled with early diagnosis and effective treatment of conditions and risks, is paramount to keeping the population healthy and economically active, and maintaining health care costs. Proven cost-effective interventions to prevent and control NCD-related risk factors, notably increasing tobacco taxes, should be endorsed and implemented in the population. Inaction could hamper the country’s effort to achieve universal health coverage by the year 2030.

Challenges faced by community health nurses to achieve universal health coverage in Myanmar:A mixed methods study

Objective:This study aimed to identify the challenges of community health nurses(CHNs)in delivering effective community health care to achieve universal health coverage(UHC)in Myanmar.Methods:A total of 30 CHNs from township health centers in the northeastern,southern,and western parts of Myanmar were purposefully recruited for quantitative and qualitative interviews.Quantitative data were processed using Microsoft Excel software,and qualitative data were analyzed using thematic analysis.This study is registered with researchregistry6201.Results:Around the country,30 CHNs uncovered their hardships in implementing primary health care to achieve UHC.Over 90%of the participants agreed to the problem of inadequate health infrastructure,while half of them felt unmotivated when they encountered role conflicts among various cadres of healthcare providers and poor opportunities for career promotion.Major problems arose from the lack of standard professional education at the entry point to community settings because most CHNs did not achieve specialized training in providing public health services.Complications are incapable of evaluating health services for policy-making and the inability to conduct health research to develop evidencebased practices.Insecure work and living conditions,unsupportive community relationships,and undereducation in professional practices were supportive major themes explored by CHNs to achieve a deeper understanding of the barriers to UHC.Not only the health system itself but also the population and other geographical factors have contributed to many challenges to CHNs.Conclusion:Myanmar’s CHNs face many challenges in achieving UHC.These challenges are not confined to the health sector.Some situations,such as geographical barriers and transportation problems,remain persistent challenges for healthcare providers.This study highlights the fact that current health systems should be strengthened by qualified healthcare providers and sufficient infrastructure.Meanwhile,public empowerment plays a critical role in promoting health development.

Assessment of Health Purchasing Functions for Universal Health Coverage in Nigeria: Evidence from Grey Literature and Key Informant Interviews

Objective: Out of pocket expenditure is the primary means of financing healthcare in middle and low-income countries. The 2021 government health expenditure in Nigeria at 4.52% falls short of the 15% recommendation of the 2001 Abuja Declaration. This paper examines healthcare purchasing in Nigeria, in order to explore how resources were allocated and create better insight into healthcare purchasing for universal health coverage. Data Source/Study Setting: The study was conducted in the Federal Capital Territory and three states—Lagos, Enugu and Sokoto. Study Design: A cross sectional method was used to examine health purchasing functions in Nigeria. Key informant interviews and review of grey and published literature on health financing in the selected study areas. Data Collection Methods: Primary data were collected from relevant stakeholders across the selected study areas, using a structured interview guide. A search of grey and published literature gave a total of 57 references. Principal Findings: The NHIS has a clearly articulated benefit package, for its formal sector and pro-poor BHCPF program. NHIS covers only about 5% of the Nigerian population. BHCPF (SOML) program targets the bottom 40% of Nigerians on paper, but there is no specific design for reaching them. The NHIS uses both public and private sector providers. It is not clear which providers are used for the BHCPF (SOML) program. The NHIS uses actuarially calculated capitations for primary care services and market-based fee-for-service rates for reimbursing secondary and tertiary care. BHCPF (SOML) uses a macroscale pay-for-performance mechanism to reward states achieving specific health outcomes. Conclusion: Health purchasing functions have serious implication for UHC. However, health care provision in Nigeria is not pro-poor and government efforts do not promote efficiency. Available option is prioritization of health initiatives that ensure value for money through performance-based financing and partnering with the private sector.

Universal Health Coverage and Healthy Living in South-East Nigeria: How Far with Mental Health?

Background: Universal health coverage implies access to key promoting, preventive, curative, and rehabilitative health interventions for all at an affordable cost, thereby achieving equity in access and service. The mentally-ill belongs to a vulnerable group that has not been given adequate attention especially in the south-eastern part of Nigeria. In September 2015, a health summit was organized in Enugu, South-East Nigeria with the sole aim of strategizing towards achieving universal health coverage in the zone. From all indications, much of the efforts being made towards achieving universal health coverage in the zone are geared towards physical conditions with mental disorders being grossly neglected. Purpose: This position paper briefly highlights the burden of mental disorders in South-East Nigeria;brings to fore the numerous challenges/barriers to effective mental health service delivery in the area;and calls for a positive change before a meaningful health coverage can be achieved in the zone (and by extension in the country). Findings: The burden of mental disorders in south-east Nigeria is heavy. Enormous barriers to mental health services in the area range from ignorance and stigmatization to self-marginalization by the unwillingness of many concerned leaders or hospital chief executives in the area to appreciate mental health and employ or increase the number of mental health professionals. Recommendations: All the stakeholders, from policy makers to consumers should wake up, recognize mental health as an indispensable part of health and take urgent and necessary measures that would ensure the promotion of mental health, prevention and treatment of mental disorders, and appropriate rehabilitation of those with mental illnesses in the zone.

Community-Based Health Insurance： An Evolutionary Approach to Achieving Universal Coverage in Low-Income Countries

The WHO World Health Assembly, and the most recent WHO World Health Report, have called for all health systems to move toward universal coverage. However, low-income countries have made little progress in this respect. We use existing evidence to describe the evolution of community-based health insurance in low-income countries through the three stages of basic model, enhanced model, and nationwide model. We have concluded that community-based health insurance development is a potential strategy to meet the urgent need for health financing in low-income countries. With careful planning and implementation, it is possible to adopt such evolutionary approach to achieve universal coverage by extending tax-based financing/social insurance characteristics to community-based health insurance schemes.

How to Integrate Palliative Care Into Primary Health Care

Integration of Palliative Care into Primary Health Care will have a substantial amount of positive impact on Health Care in Nakuru County,Kenya.Consequently,all aspects of Palliative Care should be given to more than 2/3 population that suffer from cancers and chronic illnesses which sometimes overflow to some acute conditions.While Palliative Care focuses on Holistic Care encompassing physical,psychological,social,and spiritual aspects to adults and children,Primary Health Care operates on the principles of equity,solidarity,universal access to services,multisectoral action,social justice,centralization,and community participation.Thus,there are similarities in Palliative Care and Primary Health Care putting into consideration that the latter is based on practical,scientifically sound and socially accepted methods and technology.It is affordable,universally accessible to individuals and families in the community.Universal Health Coverage ensures that all people and communities have access to promotive,preventive,curative,rehabilitative,and palliative health services they need,of sufficient quality to be effective while also ensuring that the use of these services does not expose the users to financial hardships.The 60%of the Nakuru County population are in need of Palliative Care services,but only about 20%access these services.They suffer from cancers,non-communicable diseases,dementia,and frailty.Geographical challenges,staff shortages,and lack of Palliative Care knowledge are the main barriers to provision of care.

全民健康覆盖视域下健康中国行动政策演进分析

目的:探究健康中国行动从酝酿布局阶段到全面实施阶段的政策演进,为加快推动健康中国建设提供理论依据。方法:收集2016—2022年国家层面健康中国行动相关政策文件946件,进行政策文本分析。结果:健康中国行动酝酿布局阶段以全方位干预健康影响因素为主,维护全生命周期健康和防控重大疾病为辅,重点关注健康环境、全民健身和健康知识普及行动;全面实施阶段三大健康领域均衡发展,重点关注传染病及地方病防控、老年健康、健康知识普及行动、中小学生健康和妇幼健康促进行动。结论:健康中国行动紧贴时代特征和现实国情,全面实施以来政策建设取得较好进展,不同健康领域和专项重点行动的政策主题存在阶段性变化,框架结构逐渐优化并趋于均衡,但整体层面按时完成率和部分行动总体完成率有待提高,还需重点加强心理健康和慢性病防治行动建设。

中国初级卫生保健的现状与挑战

本文系统梳理了我国45年来初级卫生保健发展历程,利用2010—2012年《中国卫生统计年鉴》、2013—2017年《中国卫生和计划生育统计年鉴》和2018—2022年《中国卫生健康统计年鉴》基层卫生相关数据、2023年世界银行中国和中高低收入国家婴儿死亡率、孕产妇死亡率和平均期望寿命等数据,总结我国初级卫生保健实施进展和成就。我国初级卫生保健发展历程分四个阶段,取得成效包括初级卫生保健网络逐步健全、基本医保覆盖全民、基本公共卫生服务内容经费和覆盖面逐步扩大、家庭医生签约覆盖率稳步提升、妇女和儿童健康水平持续提高,主要健康指标位居中高收入国家前列。目前仍面临基层医疗卫生体系基础设施建设发展不平衡、医保资金比重下降、运行机制缺乏活力、薪酬水平低激励不足等问题。本文总结了国际经验对中国初级卫生保健的启示,提出了未来发展方向和策略。

法国广覆盖的商业健康保险实施经验及启示

目的:总结法国以社会医疗保险为主的商业健康保险发展经验,为我国社会医疗保险环境下的商业健康保险发展提出建议。方法:采用文献研究法,梳理法国商业健康保险的运行机制,总结其运行经验与特点。结果:法国商业健康保险覆盖率高,与法定医疗保险的福利待遇衔接紧密,监管制度规范,运行效果良好。结论:我国应不断提升商业健康保险覆盖率,设定基础保障水平,推动商业健康保险多元化发展,并在未来继续促进普惠型商业医疗保险规范化发展,以应对和解决我国商业健康保险面临的一系列挑战。

Advancing the National Immunization Program in an era of achieving universal vaccine coverage in China and beyond

Background Immunization is a cornerstone of public health.Despite great success,China’s National Immunization Program(NIP)faces challenges,such as the integration of several World Health Organization-recommended vaccines and other systemic issues.The Innovation Laboratory for Vaccine Delivery Research(VaxLab),supported by the Bill&Melinda Gates Foundation and established in 2021 at Duke Kunshan University,focuses on enhancing China’s NIP through research and policy advocacy.This editorial aims to summarize the key findings of the manuscripts published in the collection contributed by VaxLab team and set the future research agenda.Key findings The collection contains eleven manuscripts discussing China’s immunization landscape and strategies to improve coverage,particularly for non-NIP vaccines like human papillomavirus vaccine(HPV),pneumococcal conjugate vaccine(PCV),Haemophilus influenzae type b vaccine(Hib),and rotavirus vaccines.Key findings include:(i)The COVID-19 vaccination campaign demonstrated China’s capacity for rapid,large-scale immunization efforts,suggesting potential for broader vaccine coverage improvements;(ii)Efforts in combating cervical cancer through the HPV vaccine indicate progress but also highlight challenges like vaccine supply and equitable access;(iii)The lag in adopting higher-valent paediatric combination vaccines in China needs attention to address regulatory and health system hurdles;(iv)Disparities in access to non-NIP vaccines underscore the need for government initiatives to improve vaccine coverage,especially for remote areas and marginalized populations;(v)Original studies emphasize the influence of caregivers’knowledge,health workers’financial incentives,and concerns about vaccine efficacy on immunization rates;(vi)Case studies from the Weifang City of China and Indonesia to introduce PCV offer insights on successful vaccine introduction strategies and the impact of innovative financing and government support.Conclusion The articles emphasize the need for government leadership,strategic policymaking,and public awareness to enhance vaccine coverage and equity.The VaxLab will continue strengthening China’s NIP by focusing on vaccine financing,emphasizing diversity,equity,and inclusion,and improving maternal vaccination coverage.Research will extend to Southeast Asian and Western Pacific regions,especially in middle-income countries facing challenges in vaccine financing and delivery.The collective efforts outlined in this collection show a commitment to evolving and adapting immunization strategies to meet global health goals and to provide equitable access to vaccines for all.

全民医保与医疗服务利用的公平性研究——基于中国家庭追踪调查多轮数据的分析

医疗服务利用的公平性对促进健康中国建设、缩小健康不平等和实现共同富裕具有重要现实意义。基于中国家庭追踪调查(CFPS)2012年、2014年、2016年和2018年四轮追踪数据,本文分析了我国建成全民医保后医疗服务利用的横向公平性及其动态变化,并利用夏普利值分解法考察了不公平的肇因。研究发现,全民医保实现后,我国医疗服务利用依然极其不平等和不公平,其中有50%以上的不平等是不公平的。此种不公一度减弱,但2018年却有所加剧。医保制度碎片化、城乡、区域以及收入不平等是医疗服务利用不公平的四大主要来源。医保制度的贡献度在2016年城乡医保一体化之前均居首位,2018年有所下降但仍居第二位。进一步提升医保制度的公平性,从全民医保走向公平医保,提升基本公共服务的均等化,缩小贫富差距,是改善医疗服务利用横向不公的重要途径。

宁夏高校女生经期健康知信行及教育需求分析

目的 了解宁夏高校女生经期健康知识、态度、行为及教育需求现状,并分析其影响因素,为宁夏地区高等院校开展经期健康教育和保健指导提供参考依据。方法 采用整群随机抽样的方法在宁夏3所高校共抽取2 703名女生进行不记名式问卷调查,采用Logistic回归分析探讨高校女生经期健康知识、态度、行为及教育影响因素。结果 宁夏高校女生中有26.97%的人非常了解经期知识,有51.54%的女生对“经期卫生保健对女性健康有帮助”持赞同态度,经期良好行为持有率为64.67%。有序Logistic回归分析结果显示,医学专业(OR=0.364,95%CI:0.307~0.432,P<0.001)、初潮年龄<12岁(OR=0.565,95%CI:0.366~0.872,P=0.010)的女生经期健康知识掌握较好;无序多分类Logistic回归分析结果显示,医学专业(OR=1.975,95%CI:1.486~2.626,P<0.001)的女生更倾向于对“经期卫生保健对女性健康是否有帮助”持赞同态度;二元Logistic回归分析结果显示,医学专业(OR=0.706,95%CI:0.597~0.835,P<0.001)、月经周期23~≤35 d(OR=0.651,95%CI:0.440~0.962,P=0.031)的女生健康行为较好。结论 宁夏高校女生在经期卫生的认知方面存在不足,经期卫生保健意识有待加强,学校进行相关教育和干预时要充分考虑薄弱环节,以有效提升在校女生的经期健康水平。

广西大明山康养气候资源研究

利用大明山天坪气象站2007—2020年逐日气温、降水量、风速、相对湿度、负(氧)离子浓度和上林国家基本气象站逐日日照时数,以及2000—2020年归一化植被指数(NDVI)资料,运用数理统计法、温湿指数法、风效指数法、最大合成法、像元线性分解法等方法分析广西大明山康养气候资源特征。结果表明:(1)广西大明山夏季平均气温21.3℃,适宜避暑,冬季会出现0℃以下的天气,可观冰雪,年降水量2 011.5 mm,降水丰沛、雨热同期,年平均日照时数1 485.9 h,光照充足,年平均风速2.8 m·s-1;5—9月气候舒适度等级为3级,人体感觉舒适,具备气候宜人、四季温和等康养气候资源;(2)广西大明山年平均负(氧)离子浓度2003个·cm-3,全年保持在I级标准以上,负(氧)离子浓度高,空气清新、洁净,森林覆盖率与绿化率98.9%,植被覆盖度87.6%,森林资源丰富,植被覆盖度高、生态环境好,非常适宜旅游康养。

Contact Precaution: Acceptance of Health Professionals to Teaching Hospital

The adoption by health professionals to the practice of patient isolation is a decision that reduces patients’ risks of occupational exposure to potentially contaminated biological material and prevents nosocomial infections. Verify the compliance of health professionals to the practices of contact precautions in patients colonized by microorganisms in a teaching hospital. This was a prospective observational cohort study in a special-sized hospital located in southeastern Brazil. The observation of health professionals in delivery of health care to patients with contact precaution was performed regarding hand hygiene, use of overcoat, glove, and mask. We carried out 1502 observations involving the following professional categories: nursing technicians and/or nursing assistants (n = 1028;68.4%), nurses (n = 200;13.3%), physical therapists (n = 185;12.3%), and physicians (n = 89;5.9%), totaling 971.8 hours. Regarding the level of compliance of professionals to contact precaution practices with hand hygiene after the procedures, the use of overcoats, gloves, and masks, all were statistically significant (p Klebsiella pneumoniae was the most positive pathogen identified in laboratory tests. This study provided the mapping of the compliance of health professionals to the practices of contact precautions in order to support a safer management of patient care reducing the risks of Healthcare-Associated Infections (HAI). This study also showed that health professionals are using practice management to deal with their behavior to protect their health.

Non-inclusion of certified herbal medicines in the National Health Insurance Scheme affects patient utilization of the integrated herbal medicine services in Ghana

Background:In 2011,Ghana piloted the integration of herbal medicine services into mainstream health care delivery in selected government hospitals across the country.To date,however,no single certified herbal drug is generally covered by the national health insurance scheme.This study evaluated the implications of out-of-pocket payment for prescriptions on the patronage of herbal medicine units in 3 selected government hospitals within Kumasi Metropolis.Methods:A cross-sectional study on 413 participants was performed using a semi-structured questionnaire.Results:The majority of study respondents were female(54%),and the median age was 35 years.Most participants(83.1%)were aware that herbal medicine was integrated in the mainstream health care system of the country.Regarding the costs of certified herbal drugs,51.5%of respondents considered them very expensive;72.1%of the respondents believed that the costs of certified herbal drugs adversely affected the utilization of herbal units at government hospitals,which produced a positive correlation(r=0.5498).A total of 99.5%of the respondents recommended the inclusion of certified herbal drugs on the national health insurance drug list.Conclusion:This study revealed that the costs of certified herbal medicines negatively affect utilization of herbal units at government hospitals.To improve the utilization of herbal units,certified herbal drugs dispensed at these units must thus be included in the national health insurance drug list.

以健康管理为导向的基层门诊慢性病按人头付费标准测算研究

背景门诊医疗服务是医保支付方式改革的重要组成部分,随着我国住院医疗服务医保支付方式改革的全面推进,门诊按人头付费、门诊病例分组(APG)点数法等多元支付方式的改革将逐步提上日程。目的本研究基于国内外不同国家和地区按人头付费的实践,以及目前北京市慢性病管理的情况,探索适合北京市慢性病按人头付费的测算方案,为北京市实施慢性病按人头付费改革提供参考。方法选择高血压、糖尿病、冠心病、脑卒中4种常见慢性病,以北京市C区和H区为例,对研究现场的医疗、医保等基本医疗数据和基本公共卫生服务经费进行分析,设计出适合所选地点的慢性病人头费标准的测算方法,并测算基层门诊主要慢性病按人头付费的标准,为推进门诊慢性病按人头付费改革提供参考。结果根据两地2017—2019年的医保数据和公共卫生经费,采用自上而下的方法,测算出H区高血压、糖尿病、冠心病、脑卒中的人头费标准分别为4693.11、6597.70、5644.46、6437.78元/人;采用自下而上的方法测算出C区高血压、糖尿病、冠心病、脑卒中人头费标准分别为4884.18、5960.63、3733.93、3886.66元/人。结论在人头费标准的测算中,不同慢性病人群门诊产生的费用不同,考虑医保的公平性和人头费的合理性,需要对基准人头费进行风险调整;针对不同种类和严重程度的慢性病制定个性化的服务包;在门诊慢性病按人头付费改革的推广中,要为不同慢性病患者提供个性化的基本医疗和公共卫生服务包,还要进一步提升社区卫生服务慢性病管理能力以提高签约率,建立有效的全科医生激励和考核机制合理分配按人头付费结余。

推进卫生健康领域供给侧结构性改革——基于党的二十大精神学习体会

党的二十大报告明确提出,推进健康中国建设,把保障人民健康放在优先发展的战略位置。本文基于党的二十大精神学习,阐述推进卫生健康领域供给侧结构性改革的原因,提出了改革的路径——五个“转向”,以及可以采用的政策工具——“建设发展靠政府、运行补偿靠服务”的补偿机制,“总额更合理、分类方法更科学、协同保障更有力”的医保支付工具,“迈小步、不停步”的医疗服务价格分类动态调整机制,“优化增量、调整存量、提高质量”的规划工具,“科学化、规范化、精细化、数字化”的运营管理工具。

全民健康覆盖领域研究热点及变化趋势分析

目的分析全民健康覆盖领域的相关文献,总结该领域的研究概况,明确未来的研究热点。方法以CNKI、万方、维普数据库为检索对象,检索时间为2005年1月1日-2021年12月31日。运用CiteSpace V 6.2软件,对纳入的文献从发文量、研究作者机构、关键词以及时间线方面进行可视化分析。结果共纳入有效文献162篇,发文量总体较少。其中发文量最多的作者和机构都为4篇,作者机构间抱团关系明显。健康中国、全民覆盖、医疗保险是全民健康覆盖领域的热点研究话题,因病致贫、全民健康、分级诊疗等话题逐渐出现在该领域。结论全民健康覆盖领域发文量总体呈现波动上升的趋势,对该领域的研究集中于全民健康覆盖实现进程、实现路径的研究,随着人们健康意识的提高,公平性、主动健康等逐渐成为全民健康覆盖领域的重点关注话题。