Commentary: Implementing Pro-Poor Universal Health Coverage

Frontiers in Public Health

Mihajlo Jakovljevic¹ 

关键词: universal health coverage;    low middle income countries;    risk sharing;    financial;    BRICS;    global health;   

DOI  :  10.3389/fpubh.2016.00186

学科分类：卫生学

来源: Frontiers

【 摘 要 】

Recently published extraordinary article entitled: “implementing pro-poor universal health coverage” depicts an issue of truly global outreach (1). Modern day health system establishments had their historical roots back in the early industrial era of late nineteenth century Europe (2). Risk sharing through introducing the first health insurance funds was initially targeted to protect industrial laborers as an important segment of the society of the time (3). Health coverage of citizens beneath poverty line therefore began to slowly expand to the other vulnerable groups. During the first half of twentieth century, such practice spreads to North America (4) and Japan (5). It is less known that the first nationwide success in achieving universal health coverage (UHC) is attributable to the early Soviet Union back in 1930s and its famous Semashko system (6). Disintegration of colonial system worldwide after the end of WWII and rise of the non-aligned movement gave significant impetus to the health system developments among the Third World nations (7). After the end of Cold War Era, accelerated pace of globalization saw the uneven growth of welfare in these countries (8). Although attractive as a policy goal, health coverage for massive rural populations remained a distant dream for many world regions (9).

【 授权许可】

CC BY