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世界银行&世界卫生组织:2025年全民健康覆盖全球监测报告(英文版)(108页).pdf

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1、Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedTracking universal health coverage:2025 global monitoring reportISBN(WHO)978-92-4-011780-8(electronic version)ISBN(WHO)978-92-4-011781-5(print version)World Health Organization and the Int

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1. **全球UHC进展缓慢**:2023年全球UHC服务覆盖指数(SCI)为71分(2000年为54分),2022年26%人口面临医疗财务困境(2000年为34%),但SDG时代(2015年后)进展显著放缓。 2. **2030年目标恐难实现**:按当前速度,2030年SCI将低于80分,近1/4人口仍将面临医疗财务困境。 3. **进展不均衡**:低收入国家进步最快,但差距最大;传染病防控(占SCI变化的52%)推动服务覆盖,而非传染病领域进展最慢;药品支出占个人自付医疗费用的56%。 4. **财务困境主因**:全球贫困率下降(43%→25%)减少了致贫性医疗支出,但贫困人口中因医疗支出进一步贫困的比例上升(64%→76%)。 5. **指标修订影响**:修订后的UHC指标更准确反映服务覆盖和财务保护,但历史趋势显示2000-2015年为关键进展期。
UHC进展如何? 贫困与医疗有何关联? 药费负担有多重?
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