论政府加强医药卫生规制的现实需要和理论依据

医药卫生行业存在市场失灵现象，因此政府有加强医药卫生规制的现实需要。经济学领域的信息不对称理论、交易成本理论、逆向选择和道德风险、刚性需求、外部性理论、医疗服务产品的准公共产品性质等理论为政府加强医药卫生规制提供了充分的理论依据。     

TRIPS协定下公共健康药品专利强制许可保障措施研究

药品专利强制许可制度产生于知识产权制度下的利益平衡原则,该制度的设立是为了解决公共健康问题而对专利权进行的一种最大的限制.为了使药品专利强制许可制度达到利益平衡的最佳效果,TEIPS协定下相关法律文件规定了种种保障措施以防止滥用和引发贸易转移等问题,这对正确适用该制度以平衡公共健康和专利权人的利益从而实现公共福祉的最大化有着积极的意义.     

收入、健康与医疗保险对老年人幸福感的影响

本文使用中国9个省、2200名55岁以上老年人的微观调查数据,主要检验了收入水平、健康状况与医疗保险对主观幸福感的影响。Ordered Logit回归分析结果表明：收入增加能够显著提高城镇老年人的主观幸福感,收入差距的影响不显著;对农村老年人而言,收入的作用不明显,而收入差距则有显著的负向影响。心理健康和城乡老年人幸福感呈高度的正相关,记忆力、日常生活自理能力等身体健康因素也具有显著的正向影响。公费医疗显著提高农村老年人的幸福感,城镇职工医疗保险和合作医疗分别对城镇和农村老年人幸福感具有积极的作用。总体上,城镇老年人的主观幸福感高于农村,东部老年人幸福感高于中部,中部高于西部。因此,增加老年人的收入水平,完善老年人医疗保险制度,并逐步协调城乡和地区经济发展,有助于从整体上提高老年人的幸福感。     

WaSH as a maternal health issue: three perspectives from rural Uganda

Inadequate water, sanitation, and hygiene (WaSH) knowledge and practices affect maternal and newborn morbidity and mortality. This article describes postpartum knowledge, resources, and practices in three rural Ugandan hospitals. A lack of WaSH resources was problematic for both staff and newly-birthed mothers who demonstrated a lack of knowledge about the appropriate use of WaSH resources and the links between WaSH and health protection. These results suggest that in addition to increasing the availability of medical interventions, basic preventative public health practices should be reflected in policy and practice integrated across the spaces inhabited by pregnant women to achieve improved maternal and newborn outcomes.     

Access to infrastructure and human well-being: evidence from rural Nepal

This article documents the level of access to infrastructure and assesses its perceived impacts on human well-being in rural Nepal. The study found a more varied level of well-being in less remote communities and determined that the perceived impacts of access to infrastructure on human well-being is higher in more remote areas. Notably, access to roads received the highest priority among respondents, followed by drinking water and irrigation. The methodology and findings of this study have practical implications for rural development in hills and mountains where human settlements are highly dispersed and access is key to human well-being.     

Understanding accessibility to healthcare for elderly people in Bangladesh

Healthcare facilities for the rising number of elderly people living in rural and semi-urban areas in Bangladesh are insufficient. This article assesses the accessibility to healthcare for elderly people living in rural and semi-urban areas. Data collection was carried out using surveys, focus group discussions, and key informant interviews, and both quantitative and qualitative tools were used in analysis. Upazila hospitals, which are geographically easily accessible for elderly people in rural and semi-urban areas, have a dearth of specialist doctors to treat their chronic diseases and lack sophisticated diagnostic facilities. It is recommended that a course on gerontology be introduced in the medical curriculum to increase the number of available geriatricians, and resources allocated for sophisticated diagnostic facilities in upazila hospitals.     

Shaping participation: an international NGO implementing a government participation policy

This article reports on a case study of how one NGO utilised a government participation policy to establish ostensibly participatory spaces in the Cambodian health sector. The ethnographic field study revealed how the NGO exerted influence in establishing and facilitating participative committees by controlling membership, resources, and meeting agendas. This resulted in limited citizen participation, with committees used to educate, lobby, and mobilise community leaders to work towards the NGO’s priorities rather than community identified needs. This case contributes to our understanding of insisted spaces and the role of third parties implementing government participation policies.     

The historical contribution of faith-based health providers in the Ecuadorian health system: an overview of the evidence

ABSTRACT

Faith-based health providers (FBHPs) have historically shaped the national health system in Ecuador, yet there is little robust evidence of this role, or their current contribution to the national health system. This article situates FBHPs in the Ecuadorian health system, using secondary analyses of national health surveys to consider changes in contribution from 1998 to 2014, and synthesising this with secondary literature. The research confirms the important role that FBHPs have historically played in Ecuador, but also shows that their current role needs to be better understood if universalisation of health service coverage is to be achieved.     

Factors affecting access to primary health care services in Pakistan: a gender-based analysis

This article explores access to primary health care (PHC) services and associated factors in Pakistan. Data were collected from 302 respondents. The findings revealed that women accessed PHC services more than men due to their greater health needs. However, a large proportion of both genders did not access any PHC services. Besides general weaknesses, gender-related barriers were found in basic health unit locations, distance, transport, staff availability, income, service hours, and service organisation, confirming gender issues in access to PHC services. Policymakers are recommended to take measures to improve access to PHC services through the formulation of gender-responsive policies and strategies.     

Female genital cutting in Egypt: drivers and potential responses

ABSTRACT

Female genital cutting (FGC) is a major issue at the interplay of faith and health in development. The practice is in part faith-inspired, and has clear negative health impacts. The prevalence of FGC remains especially high in Egypt. This article reflects on some of the factors that lead to the perpetuation of the practice by analysing data from the 2014 Survey of Young People in Egypt. The focus is on whether religiosity, acceptance of traditional gender roles and discrimination, attitudes towards women’s autonomy, and age at marriage affect attitudes towards FGC, controlling for other factors. The results suggest that all these factors do indeed play a role.