IR@PKUHSC  > 北京大学医学部
Global health 2035: a world converging within a generation
Jamison, Dean T.1; Summers, Lawrence H.2; Alleyne, George3; Arrow, Kenneth J.4,5; Berkley, Seth6; Binagwaho, Agnes7; Bustreo, Flavia8,9; Evans, David8,9; Feachem, Richard G. A.10,11; Frenk, Julio12; Ghosh, Gargee13; Goldie, Sue J.12; Guo, Yan14; Gupta, Sanjeev15; Horton, Richard16; Kruk, Margaret E.17; Mahmoud, Adel18,19; Mohohlo, Linah K.20; Ncube, Mthuli21; Pablos-Mendez, Ariel22,23; Reddy, K. Srinath24; Saxenian, Helen25; Soucat, Agnes26; Ulltveit-Moe, Karen H.27; Yamey, Gavin10,11
关键词Global health financial resources in health health systems
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health

Prompted by the 20th anniversary of the 1993 World Development Report, a Lancet Commission revisited the case for investment in health and developed a new investment framework to achieve dramatic health gains by 2035. The Commission′s report has four key messages, each accompanied by opportunities for action by national governments of low-income and middle-income countries and by the international community. First, there is an enormous economic payoff from investing in health.The impressive returns make a strong case for both increased domestic financing of health and for allocating a higher proportion of official development assistance to development of health. Second, modeling by the Commission found that a "grand convergence" in health is achievable by 2035 that is, a reduction in infectious, maternal, and child mortality down to universally low levels. Convergence would require aggressive scale up of existing and new health tools, and it could mostly be financed from the expected economic growth of low- and middle-income countries. The international community can best support convergence by funding the development and delivery of new health technologies and by curbing antibiotic resistance.Third, fiscal policies such as taxation of tobacco and alcohol-are a powerful and underused lever that governments can use to curb non-communicable diseases and injuries while also raising revenue for health. International action on NCDs and injuries should focus on providing technical assistance on fiscal policies, regional cooperation on tobacco, and funding policy and implementation research on scaling-up of interventions to tackle these conditions. Fourth, progressive universalism, a pathway to universal health coverage (UHC) that includes the poor from the outset, is an efficient way to achieve health and financial risk protection. For national governments, progressive universalism would yield high health gains per dollar spent and poor people would gain the most in terms of health and financial protection.The international community can best support countries to implement progressive UHC by financing policy and implementation research, such as on the mechanics of designing and implementing evolution of the benefits package as the resource envelope for public finance grows.

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作者单位1.Minist Hlth, Kigali, Rwanda
2.Family Womens & Childrens Hlth, Geneva, Switzerland
3.Dept Hlth Syst Financing, Geneva, Switzerland
4.WHO, CH-1211 Geneva, Switzerland
5.Harvard Univ, Sch Publ Hlth, Cambridge, MA 02138 USA
6.Peking Univ, Hlth Sci Ctr, Beijing 100871, Peoples R China
7.The Lancet, London NW1 7BY, England
8.Harvard Univ, Cambridge, MA 02138 USA
9.Univ W Indies, Kingston 7, Jamaica
10.Stanford Univ, Dept Econ, Stanford, CA 94305 USA
11.Stanford Univ, Ctr Hlth Policy, Stanford, CA 94305 USA
12.GAVI Alliance, Execut Off, Geneva, Switzerland
13.Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA
14.Univ Calif San Francisco, Global Hlth Grp, San Francisco, CA 94143 USA
15.Bill & Melinda Gates Fdn, Dev Policy & Finance, Washington, DC USA
16.Int Monetary Fund, Fiscal Affairs Dept, Washington, DC 20431 USA
17.Columbia Univ, Dept Hlth Policy & Management, Mailman Sch Publ Hlth, New York, NY USA
18.Princeton Univ, Dept Mol Biol, Princeton, NJ 08544 USA
19.Princeton Univ, Woodrow Wilson Sch, Princeton, NJ 08544 USA
20.Bank Botswana, Gaborone, Botswana
21.Chief Economists Off, Tunis, Tunisia
22.African Dev Bank Grp, Tunis, Tunisia
23.US Agcy Int Dev, Bur Global Hlth, Washington, DC USA
24.Publ Hlth Fdn India, New Delhi, India
25.Results Dev Inst, Washington, DC USA
26.Univ Oslo, Dept Human Dev, Oslo, Norway
27.Univ Oslo, Dept Econ, Oslo, Norway
Recommended Citation
GB/T 7714
Jamison, Dean T.,Summers, Lawrence H.,Alleyne, George,et al. Global health 2035: a world converging within a generation[J]. SALUD PUBLICA DE MEXICO,2015,57(5):444-467.
APA Jamison, Dean T..,Summers, Lawrence H..,Alleyne, George.,Arrow, Kenneth J..,Berkley, Seth.,...&Yamey, Gavin.(2015).Global health 2035: a world converging within a generation.SALUD PUBLICA DE MEXICO,57(5),444-467.
MLA Jamison, Dean T.,et al."Global health 2035: a world converging within a generation".SALUD PUBLICA DE MEXICO 57.5(2015):444-467.
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