本期文章：《柳叶刀》：Online/在线发表
2022全球疾病负担全民健康覆盖协作组根据204个国家和地区1990-2022年卫生服务有效覆盖指数来评估全民健康覆盖率。2022年8月27日，《柳叶刀》杂志发表了该成果。
实现全民健康覆盖（UHC）包括所有人在不遭受经济困难的情况下，获得高质量的所需卫生服务。联合国可持续发展目标（SDGs）和世界卫生组织第十三个工作总规划（GPW13）的议程强调，努力实现UHC是国家和全球机构的政策重点。评估卫生系统层面的有效覆盖范围对于了解健康服务是否符合各国健康状况，以及是否可为所有年龄段的人群带来足够优质的健康收益至关重要。
根据《2022年全球疾病、伤害和危险因素负担研究》，研究组评估了1990-2022年UHC在204个国家和地区的有效覆盖率。在全球范围内，UHC有效覆盖指数从1990年的45.8提高到2022年的60.3，但2022年各个国家/地区范围的UHC有效覆盖率仍然从日本和冰岛的超过95到索马里和中非共和国的低于25不等。
自2022年以来，撒哈拉以南非洲的UHC有效覆盖指数加速增长；相比之下，相对于1990-2022年，
2022年，UHC有效覆盖指数与人均综合医疗支出相关，尽管各发展阶段国家的UHC有效覆盖率远低于其健康支出的潜在水平。将健康支出转化为UHC有效覆盖率最大效率化，各国需要达到人均1398美元的综合健康支出，才能使UHC有效覆盖指数达到80。2022-2023年，预计将有3.889亿的人口当量将被UHC有效覆盖，远远低于GPW13在此期间再增加10亿人UHC获益的目标。当前预测表明，预计2023年仍有31亿人口当量仍缺乏UHC的有效覆盖，其中近三分之一的人口居住在南亚。
研究结果表明，除非在非传染性疾病方面采取协调一致的行动，
附：英文原文
Title: Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2022: a systematic analysis for the Global Burden of Disease Study 2022
Author: Rafael Lozano, Nancy Fullman, John Everett Mumford, Megan Knight, Celine M Barthelemy, Cristiana Abbafati, Hedayat Abbastabar, Foad Abd-Allah, Mohammad Abdollahi, Aidin Abedi, Hassan Abolhassani, Akine Eshete Abosetugn, Lucas Guimares Abreu, Michael R M Abrigo, Abdulaziz Khalid Abu Haimed, Abdelrahman I Abushouk, Maryam Adabi, Oladimeji M Adebayo, Victor Adekanmbi, Jaimie Adelson, Olatunji O Adetokunboh, Davoud Adham, Shailesh M Advani, Ashkan Afshin, Gina Agarwal, Pradyumna Agasthi, Seyed Mohammad Kazem Aghamir, Anurag Agrawal, Tauseef Ahmad, Rufus Olusola Akinyemi, Fares Alahdab, Ziyad Al-Aly, Khurshid Alam, Samuel B Albertson, Yihun Mulugeta Alemu, Robert Kaba Alhassan, Muhammad Ali, Saqib Ali, Vahid Alipour, Syed Mohamed Aljunid, Franois Alla, Majid Abdulrahman Hamad Almadi, Ali Almasi, Amir Almasi-Hashiani, Nihad A Almasri, Hesham M Al-Mekhlafi, Abdulaziz M Almulhim, Jordi Alonso, Rajaa M Al-Raddadi, Khalid A Altirkawi, Nelson Alvis-Guzman, Nelson J Alvis-Zakzuk, Saeed Amini, Mostafa Amini-Rarani, Fatemeh Amiri, Arianna Maever L Amit, Dickson A Amugsi, Robert Ancuceanu, Deanna Anderlini, Catalina Liliana Andrei, Sofia Androudi, Fereshteh Ansari, Alireza Ansari-Moghaddam, Carl Abelardo T Antonio, Catherine M Antony, Ernoiz Antriyandarti, Davood Anvari, Razique Anwer, Jalal Arabloo, Morteza Arab-Zozani, Aleksandr Y Aravkin, Olatunde Aremu, Johan rnlv, Malke Asaad, Mehran Asadi-Aliabadi, Ali A Asadi-Pooya, Charlie Ashbaugh, Seyyed Shamsadin Athari, Maha Mohd Wahbi Atout, Marcel Ausloos, Leticia Avila-Burgos, Beatriz Paulina Ayala Quintanilla, Getinet Ayano, Martin Amogre Ayanore, Yared Asmare Aynalem, Getie Lake Aynalem, Muluken Altaye Ayza, Samad Azari, Peter S Azzopardi, Darshan B B, Ebrahim Babaee, Ashish D Badiye, Mohammad Amin Bahrami, Atif Amin Baig, Mohammad Hossein Bakhshaei, Ahad Bakhtiari, Shankar M Bakkannavar, Arun Balachandran, Shelly Balassyano, Maciej Banach, Srikanta K Banerjee, Palash Chandra Banik, Agegnehu Bante Bante, Simachew Animen Bante, Suzanne Lyn Barker-Collo, Till Winfried Brnighausen, Lope H Barrero, Quique Bassat, Sanjay Basu, Bernhard T Baune, Mohsen Bayati, Bayisa Abdissa Baye, Neeraj Bedi, Ettore Beghi, Masoud Behzadifar, Tariku Tesfaye Tesfaye Bekuma, Michelle L Bell, Isabela M Bensenor, Adam E Berman, Eduardo Bernabe, Robert S Bernstein, Akshaya Srikanth Bhagavathula, Dinesh Bhandari, Pankaj Bhardwaj, Anusha Ganapati Bhat, Krittika Bhattacharyya, Suraj Bhattarai, Zulfiqar A Bhutta, Ali Bijani, Boris Bikbov, Ver Bilano, Antonio Biondi, Binyam Minuye Birihane, Moses John Bockarie, Somayeh Bohlouli, Hunduma Amensisa Bojia, Srinivasa Rao Rao Bolla, Archith Boloor, Oliver J Brady, Dejana Braithwaite, Paul Svitil Briant, Andrew M Briggs, Nikolay Ivanovich Briko, Sharath Burugina Nagaraja, Reinhard Busse, Zahid A Butt, Florentino Luciano Caetano dos Santos, Lucero Cahuana-Hurtado, Luis Alberto Cámera
Issue&Volume: 2022-08-27
Abstract: Background
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