Moving Toward Universal Health Coverage (UHC) to Achieve Inclusive and Sustainable Health Development: Three Essential Strategies Drawn From Asian Experience Comment on "Improving the World's Health Through the Post-2015 Development Agenda: Perspectives from Rwanda"

Xu, Ye; Huang, Cheng; Colón‐Ramos, Uriyoán

doi:10.15171/ijhpm.2015.156

Cited by 12 publications

(12 citation statements)

References 14 publications

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“…60 , 63 Financing includes three functions, such as revenue collection, pooling, and strategic purchasing. 1 Brazil, 64 South Korea, 65 and Thailand 4 have used strategic purchasing as a key policy instrument to achieve UHC goals of improved and equitable access and financial risk protection. 40 , 41 Insurance agencies can alleviate unnecessary expenditures and out-of-pocket payments if they manage the strategic purchasing function well.…”

Section: Discussionmentioning

confidence: 99%

<p>Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis</p>

Derakhshani

Doshmangir

Ahmadi

et al. 2020

CEOR

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Background: This study builds on previous successes of using tracer indicators in tracking progress towards Universal Health Coverage (UHC) and complements them by offering a more detailed tool that would allow us to identify potential process barriers and enablers towards such progress. Purpose: This tool was designed accounting for possibly available data in low-and middleincome counties. Methodology: A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus, and ProQuest databases with no time restriction. The search was complemented by a scoping review of grey literature, using the World Bank and the World Health Organization (WHO) official reports depositories. Next, an inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes was explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys. Results: A total of 416 themes (including indicators and determinants factors) were extracted from 166 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into eight domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance, and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators. Conclusion: Identified factors in progress towards UHC are interrelated. The developed tool can be adapted and used in whole or in part in any country. Periodical use of the tool is recommended to understand potential factors that impede or advance progress towards UHC.

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Section: Discussionmentioning

confidence: 99%

<p>Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis</p>

Derakhshani

Doshmangir

Ahmadi

et al. 2020

CEOR

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“…[ 12 ] Health insurance is considered as a promising means for achieving UHC by the World Health Organization. [ 13 ] The purpose of health insurance is to increase the access and use of health services by making it more affordable and to mitigate the financial consequences of ill health by distributing the costs of health-care services across all members of a risk pool. [ 14 ] However, penetration of insurance is low in India either due to lack of awareness or the state of functioning of the available health insurance schemes.…”

Section: Introductionmentioning

confidence: 99%

Health insurance coverage and its impact on out-of-pocket expenditures at a public sector hospital in Kerala, India

Harish

Suresh

Rameesa

et al. 2020

J Family Med Prim Care

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Background: Health insurance coverage ensures protection from catastrophic health-care expenditure, especially to the underprivileged sections of society. Health insurance schemes such as Ayushman Bharat are coming up in addition to the existing schemes such as Rashtriya Swasthya Bima Yojana in India. The objectives are to find the health insurance coverage and its impact on out-of-pocket (OOP) expenditure for public sector tertiary health-care hospitalization. Methods: A cross-sectional study was conducted at a tertiary care hospital in Kerala. Insurance coverage was assessed among patients seeking inpatient care in various medical and surgical departments. OOP expenses incurred for those receiving and not receiving insurance coverage were compared. In addition, factors influencing enrolment and availing of insurance schemes were determined. Results: The coverage of health insurance was found to be 74%. Awareness campaigns and activities of local self-government (LSG) departments were the important reasons for enrolment and availing, respectively. Significantly lower OOP expenditures occurred in insured persons with regard to expenses incurred for treatment procedures ( P = 0.019), investigations ( P = 0.004), and medicines ( P = 0.001). Among the enrolled patients, 45% expressed dissatisfaction regarding available services. Conclusion: A quarter of patients still remain out of insurance coverage. All patients are incurring OOP expenditures, though the insured patients have significantly lower OOP expenses. The role of primary care providers and LSG is pivotal in creating awareness and ensuring enrolment. Availing services depend on the availability of resources at the respective institution. Improvements in enrolment and use of health insurance should ultimately result in improved patient satisfaction.

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“…Financing includes three functions, such as revenue collection, pooling, and strategic purchasing [1]. Brazil [202], South…”

Section: Discussionmentioning

confidence: 99%

Monitoring process barriers and enables towards universal health coverage within the Sustainable Development Goals

Derakhshani

Doshmangir

Ahmadi

et al. 2020

Preprint

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Background This study builds on previous successes of using tracer indicators in tracking progress towards UHC and complements them by offering a more detailed framework that would allow to identify potential factors that impede or advance such progress. This tool was designed accounting for possibly available data in low and middle income counties.Methods A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus and ProQuest databases with no time period restriction. The search was complemented by a scoping review of grey literature, using the World Bank and WHO official reports depositories. Next, an inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes were explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys.Results 416 themes (including indicators and determinants factors) were extracted from 170 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into seven domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators.Conclusion All identified factors in progress towards UHC are interrelated. The developed tool can be adapted and used in whole or in part in any country. Periodical use of the tool to understand progress towards UHC is recommended.

show abstract

Moving Toward Universal Health Coverage (UHC) to Achieve Inclusive and Sustainable Health Development: Three Essential Strategies Drawn From Asian Experience Comment on "Improving the World's Health Through the Post-2015 Development Agenda: Perspectives from Rwanda"

Cited by 12 publications

References 14 publications

<p>Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis</p>

<p>Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis</p>

Health insurance coverage and its impact on out-of-pocket expenditures at a public sector hospital in Kerala, India

Monitoring process barriers and enables towards universal health coverage within the Sustainable Development Goals

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