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Building the case for embedding global health security into universal health coverage: a proposal for a unified health system that includes public health.
The Lancet ( IF 168.9 ) Pub Date : 2018-10-20 , DOI: 10.1016/s0140-6736(18)32332-8
Ngozi A Erondu , Jerry Martin , Robert Marten , Gorik Ooms , Robert Yates , David L Heymann

In the wake of the recent west African Ebola epidemic, there is global consensus on the need for strong health systems; however, agreement is less apparent on effective mechanisms for establishing and maintaining these systems, particularly in resource-constrained settings and in the presence of multiple and sustained stresses (eg, conflict, famine, climate change, and globalisation). The construction of the International Health Regulations (2005) guidelines and the WHO health systems framework, has resulted in the separation of public health functions and health-care services, which are interdependent in actuality and must be integrated to ensure a continuous, unbroken national health system. By analysing efforts to strengthen health systems towards attaining universal health coverage and investments to improve global health security, we examine areas of overlap and offer recommendations for construction of a unified national health system that includes public health. One way towards achieving universal health coverage is to broaden the definition of a health system.

中文翻译:

建立将全球卫生安全纳入全民健康覆盖的理由:关于包括公共卫生在内的统一卫生系统的建议。

在最近发生的西非埃博拉疫情之后,全球对建立强有力的卫生系统的必要性达成了共识;但是,在建立和维护这些系统的有效机制上,尤其是在资源有限的环境中以及在存在多种持续压力(例如冲突,饥荒,气候变化和全球化)的情况下,达成共识的机会并不多。《国际卫生条例(2005)》指南和世界卫生组织卫生系统框架的构建,导致公共卫生职能和卫生保健服务分离,这在现实中是相互依存的,必须加以整合以确保持续不断的国民健康系统。通过分析为加强卫生系统以实现全民健康覆盖面和进行投资以改善全球卫生安全所作的努力,我们研究了重叠的领域,并为构建包括公共卫生的统一国家卫生系统提供了建议。实现全民健康覆盖的一种方法是扩大卫生系统的定义。
更新日期:2018-10-19
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