Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global …

Rafael Lozano,Nancy Fullman,John Everett Mumford,Megan Knight,Celine M Barthelemy,Cristiana Abbafati,Hedayat Abbastabar,Foad Abd-Allah,Mohammad Abdollahi,Aidin Abedi,Hassan Abolhassani,Akine Eshete Abosetugn,Lucas Guimarães Abreu,Michael RM Abrigo,Abdulaziz Khalid Abu Haimed,Abdelrahman I Abushouk,Maryam Adabi,Oladimeji M Adebayo,Victor Adekanmbi,Jaimie Adelson,Olatunji O Adetokunboh,Davoud Adham,Shailesh M Advani,Ashkan Afshin,Gina Agarwal,Pradyumna Agasthi,Seyed Mohammad Kazem Aghamir,Anurag Agrawal,Tauseef Ahmad,Rufus Olusola Akinyemi,Fares Alahdab,Ziyad Al-Aly,Khurshid Alam,Samuel B Albertson,Yihun Mulugeta Alemu,Robert Kaba Alhassan,Muhammad Ali,Saqib Ali, Vahid Alipour,Syed Mohamed Aljunid,François Alla,Majid Abdulrahman Hamad Almadi,Ali Almasi,Amir Almasi-Hashiani,Nihad A Almasri,Hesham M Al-Mekhlafi,Abdulaziz M Almulhim,Jordi Alonso,Rajaa M Al-Raddadi,Khalid A Altirkawi,Nelson Alvis-Guzman,Nelson J Alvis-Zakzuk,Saeed Amini,Mostafa Amini-Rarani,Fatemeh Amiri,Arianna Maever L Amit,Dickson A Amugsi,Robert Ancuceanu,Deanna Anderlini,Catalina Liliana Andrei,Sofia Androudi,Fereshteh Ansari,Alireza Ansari-Moghaddam,Carl Abelardo T Antonio,Catherine M Antony,Ernoiz Antriyandarti,Davood Anvari,Razique Anwer,Jalal Arabloo,Morteza Arab-Zozani,Aleksandr Y Aravkin,Olatunde Aremu,Johan Ärnlöv,Malke Asaad,Mehran Asadi-Aliabadi,Ali A Asadi-Pooya,Charlie Ashbaugh,Seyyed Shamsadin Athari,Maha Moh'd Wahbi Atout,Marcel Ausloos,Leticia Avila-Burgos,Beatriz Paulina Ayala Quintanilla,Getinet Ayano,Martin Amogre Ayanore,Yared Asmare Aynalem,Getie Lake Aynalem,Muluken Altaye Ayza,Samad Azari,Peter S Azzopardi,BB Darshan,Ebrahim Babaee,Ashish D Badiye,Mohammad Amin Bahrami,Atif Amin Baig,Mohammad Hossein Bakhshaei,Ahad Bakhtiari,Shankar M Bakkannavar,Arun Balachandran,Shelly Balassyano,Maciej Banach,Srikanta K Banerjee,Palash Chandra Banik,Agegnehu Bante Bante,Simachew Animen Bante,Suzanne Lyn Barker-Collo,Till Winfried Bärnighausen,Lope H Barrero,Quique Bassat,Sanjay Basu,Bernhard T Baune,Mohsen Bayati,Bayisa Abdissa Baye,Neeraj Bedi,Ettore Beghi,Masoud Behzadifar, Tariku Tesfaye Tesfaye Bekuma,Michelle L Bell,Isabela M Bensenor,Adam E Berman,Eduardo Bernabe,Robert S Bernstein,Akshaya Srikanth Bhagavathula,Dinesh Bhandari,Pankaj Bhardwaj,Anusha Ganapati Bhat,Krittika Bhattacharyya,Suraj Bhattarai,Zulfiqar A Bhutta,Ali Bijani,Boris Bikbov,Ver Bilano,Antonio Biondi,Binyam Minuye Birihane,Moses John Bockarie,Somayeh Bohlouli,Hunduma Amensisa Bojia,Srinivasa Rao Rao Bolla,Archith Boloor,Oliver J Brady,Dejana Braithwaite,Paul Svitil Briant,Andrew M Briggs,Nikolay Ivanovich Briko,Sharath Burugina Nagaraja,Reinhard Busse,Zahid A Butt,Florentino Luciano Caetano dos Santos,Lucero Cahuana-Hurtado,Luis Alberto Cámera,Rosario Cárdenas

The Lancet（2020）

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摘要

BackgroundAchieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). Measuring effective coverage at the health-system level is important for understanding whether health services are aligned with countries' health profiles and are of sufficient quality to produce health gains for populations of all ages.MethodsBased on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we assessed UHC effective coverage for 204 countries and territories from 1990 to 2019. Drawing from a measurement framework developed through WHO's GPW13 consultation, we …

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universal health coverage,effective coverage,health services,global burden

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