Desafíos éticos en los modelos de seguro de salud de Uganda: abordando dilemas para mejorar la equidad, el acceso y la sostenibilidad
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El sector de seguros de salud de Uganda sigue estando subdesarrollado, con baja cobertura y una fuerte dependencia de los pagos directos. Este documento explora los desafíos éticos de los modelos de seguros de salud de Uganda, centrándose en la equidad, el acceso y la sostenibilidad. Utilizando principios bioéticos, marcos de derechos humanos y la perspectiva moral Ubuntu, examina cuestiones como la asequibilidad, la exclusión de poblaciones vulnerables y la deficiente supervisión regulatoria. Las soluciones clave incluyen la implementación de un Sistema Nacional de Seguro de Salud (SNHS), el fortalecimiento de los seguros comunitarios, la mejora de la regulación, la garantía del compromiso político y el aumento de la transparencia y la rendición de cuentas. Basándose en la literatura existente y los análisis de políticas, este estudio destaca la urgente necesidad de reformas éticas y políticas para crear un sistema de seguros de salud inclusivo y sostenible. Abordar estos desafíos impulsará la cobertura sanitaria universal, mejorará los resultados de salud y contribuirá al desarrollo social y económico mediante un enfoque colaborativo y basado en la justicia.
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