Assessing Latin America’s Progress Toward Achieving Universal Health Coverage

Two commonly used metrics for assessing progress toward universal health coverage involve assessing citizens’ rights to health care and counting the number of people who are in a financial protection scheme that safeguards them from high health care payments. On these metrics most countries in Latin...

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Main Authors: Wagstaff, Adam, Dmytraczenko, Tania, Almeida, Gisele, Buisman, Leander R., Eozenou, Patrick Hoang-Vu, Bredenkamp, Caryn, Cercone, James, Díaz, Yadira, Maceira, Daniel, Molina, Silvia, Mori Sarti, Flávia, Paraje, Guillermo, Ruiz, Fernando, Scott, John, Valdivia, Martin, Werneck, Heitor
Format: Journal Article
Language:en_US
Published: Project HOPE 2015
Subjects:
Online Access:http://hdl.handle.net/10986/22760
id okr-10986-22760
recordtype oai_dc
spelling okr-10986-227602021-04-23T14:04:11Z Assessing Latin America’s Progress Toward Achieving Universal Health Coverage Wagstaff, Adam Dmytraczenko, Tania Almeida, Gisele Buisman, Leander R. Eozenou, Patrick Hoang-Vu Bredenkamp, Caryn Cercone, James Díaz, Yadira Maceira, Daniel Molina, Silvia Mori Sarti, Flávia Paraje, Guillermo Ruiz, Fernando Scott, John Valdivia, Martin Werneck, Heitor UHC universal health coverage health care reform Two commonly used metrics for assessing progress toward universal health coverage involve assessing citizens’ rights to health care and counting the number of people who are in a financial protection scheme that safeguards them from high health care payments. On these metrics most countries in Latin America have already “reached” universal health coverage. Neither metric indicates, however, whether a country has achieved universal health coverage in the now commonly accepted sense of the term: that everyone—irrespective of their ability to pay—gets the health services they need without suffering undue financial hardship. We operationalized a framework proposed by the World Bank and the World Health Organization to monitor progress under this definition and then constructed an overall index of universal health coverage achievement. We applied the approach using data from 112 household surveys from 1990 to 2013 for all twenty Latin American countries. No country has achieved a perfect universal health coverage score, but some countries (including those with more integrated health systems) fare better than others. All countries except one improved in overall universal health coverage over the time period analyzed. 2015-10-09T15:39:36Z 2015-10-09T15:39:36Z 2015-10 Journal Article Health Affairs 0278-2715 http://hdl.handle.net/10986/22760 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Project HOPE Publications & Research Publications & Research :: Journal Article Latin America & Caribbean Caribbean Central America Latin America
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic UHC
universal health coverage
health care reform
spellingShingle UHC
universal health coverage
health care reform
Wagstaff, Adam
Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander R.
Eozenou, Patrick Hoang-Vu
Bredenkamp, Caryn
Cercone, James
Díaz, Yadira
Maceira, Daniel
Molina, Silvia
Mori Sarti, Flávia
Paraje, Guillermo
Ruiz, Fernando
Scott, John
Valdivia, Martin
Werneck, Heitor
Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
geographic_facet Latin America & Caribbean
Caribbean
Central America
Latin America
description Two commonly used metrics for assessing progress toward universal health coverage involve assessing citizens’ rights to health care and counting the number of people who are in a financial protection scheme that safeguards them from high health care payments. On these metrics most countries in Latin America have already “reached” universal health coverage. Neither metric indicates, however, whether a country has achieved universal health coverage in the now commonly accepted sense of the term: that everyone—irrespective of their ability to pay—gets the health services they need without suffering undue financial hardship. We operationalized a framework proposed by the World Bank and the World Health Organization to monitor progress under this definition and then constructed an overall index of universal health coverage achievement. We applied the approach using data from 112 household surveys from 1990 to 2013 for all twenty Latin American countries. No country has achieved a perfect universal health coverage score, but some countries (including those with more integrated health systems) fare better than others. All countries except one improved in overall universal health coverage over the time period analyzed.
format Journal Article
author Wagstaff, Adam
Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander R.
Eozenou, Patrick Hoang-Vu
Bredenkamp, Caryn
Cercone, James
Díaz, Yadira
Maceira, Daniel
Molina, Silvia
Mori Sarti, Flávia
Paraje, Guillermo
Ruiz, Fernando
Scott, John
Valdivia, Martin
Werneck, Heitor
author_facet Wagstaff, Adam
Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander R.
Eozenou, Patrick Hoang-Vu
Bredenkamp, Caryn
Cercone, James
Díaz, Yadira
Maceira, Daniel
Molina, Silvia
Mori Sarti, Flávia
Paraje, Guillermo
Ruiz, Fernando
Scott, John
Valdivia, Martin
Werneck, Heitor
author_sort Wagstaff, Adam
title Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title_short Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title_full Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title_fullStr Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title_full_unstemmed Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title_sort assessing latin america’s progress toward achieving universal health coverage
publisher Project HOPE
publishDate 2015
url http://hdl.handle.net/10986/22760
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