Do efficiency and equity move together? Cross-dynamics of Health System performance and Universal Health Coverage
نویسندگان
چکیده
Abstract Efficiency within the health system is well recognised as key for achieving Universal Health Coverage (UHC). However, equity and efficiency simultaneously often seen a conflicting effort. Using 12 years of data (2003–2014) from selection number low- lower middle-income countries (Afghanistan, Bangladesh, Burkina Faso, Ghana, Indonesia, Mongolia, Mozambique, Tajikistan, Togo, Uzbekistan Yemen Republic), we compute an index coverage (UHC), measure system’s performance (HSp) and, finally, investigate cross-dynamics resulting HSp UHC previously obtained. We find that, with few exceptions over statistical sample, causality between performances national universal typically bidirectional. From empirical standpoint, our findings challenge idea economic orthodoxy that must precede in healthcare services. Rather, support view simultaneous efforts to improve expansion system, directing attention towards importance organisation country context.
منابع مشابه
Universal Health Coverage: Everyone, Everywhere
سخن سردبیر Editorial مجله دانشگاه علوم پزشکی رفسنجان دوره هفدهم، خرداد 1398، 208-207 «پوشش همگانی بهداشت: هرکسی، هرجا» Universal Health Coverage: Everyone, Everywhere محسن رضائیان[1] M. Rezaeian سازمان جهانی بهداشت World Health Organization (WHO) هر ساله هفتم آوریل (مصادف با هجدهم فروردین) را به عنوان روز جهانی بهداشت گرامی داشته و شعاری را برای آن انتخاب می‌کند. ...
متن کاملHuman resources for health and universal health coverage: fostering equity and effective coverage.
Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The pap...
متن کاملUniversal Health Insurance in India: Ensuring Equity, Efficiency, and Quality
Indian health system is characterized by a vast public health infrastructure which lies underutilized, and a largely unregulated private market which caters to greater need for curative treatment. High out-of-pocket (OOP) health expenditures poses barrier to access for healthcare. Among those who get hospitalized, nearly 25% are pushed below poverty line by catastrophic impact of OOP healthcare...
متن کاملEquity-Oriented Monitoring in the Context of Universal Health Coverage
Monitoring inequalities in health is fundamental to the equitable and progressive realization of universal health coverage (UHC). A successful approach to global inequality monitoring must be intuitive enough for widespread adoption, yet maintain technical credibility. This article discusses methodological considerations for equity-oriented monitoring of UHC, and proposes recommendations for mo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Humanities & social sciences communications
سال: 2022
ISSN: ['2662-9992']
DOI: https://doi.org/10.1057/s41599-022-01271-9