عرض بسيط للتسجيلة

المؤلفRafael, Lozano
المؤلفFullman, Nancy
المؤلفMumford, John Everett
المؤلفKnight, Megan
المؤلفBarthelemy, Celine M
المؤلفAbbafati, Cristiana
المؤلفAbbastabar, Hedayat
المؤلفAbd-Allah, Foad
المؤلفAbdollahi, Mohammad
المؤلفAbedi, Aidin
المؤلفAbolhassani, Hassan
المؤلفAbosetugn, Akine Eshete
المؤلفAbreu, Lucas Guimarães
المؤلفAbrigo, Michael R M
المؤلفAbu Haimed, Abdulaziz Khalid
المؤلفAbushouk, Abdelrahman I
المؤلفAdabi, Maryam
المؤلفAdebayo, Oladimeji M
المؤلفAdekanmbi, Victor
المؤلفAdelson, Jaimie
المؤلفAdetokunboh, Olatunji O
المؤلفAdham, Davoud
المؤلفAdvani, Shailesh M
المؤلفAfshin, Ashkan
المؤلفAgarwal, Gina
المؤلفAgasthi, Pradyumna
المؤلفAghamir, Seyed Mohammad Kazem
المؤلفAgrawal, Anurag
المؤلفAhmad, Tauseef
المؤلفAkinyemi, Rufus Olusola
المؤلفAlahdab, Fares
المؤلفAl-Aly, Ziyad
المؤلفAlam, Khurshid
المؤلفAlbertson, Samuel B
المؤلفAlemu, Yihun Mulugeta
المؤلفAlhassan, Robert Kaba
المؤلفAli, Muhammad
المؤلفAli, Saqib
المؤلفAlipour, Vahid
المؤلفAljunid, Syed Mohamed
المؤلفAlla, François
المؤلفAlmadi, Majid Abdulrahman Hamad
المؤلفAlmasi, Ali
المؤلفAlmasi-Hashiani, Amir
المؤلفAlmasri, Nihad A
المؤلفAl-Mekhlafi, Hesham M
المؤلفAlmulhim, Abdulaziz M
المؤلفAlonso, Jordi
المؤلفAl-Raddadi, Rajaa M
المؤلفAltirkawi, Khalid A
المؤلفAlvis-Guzman, Nelson
المؤلفAlvis-Zakzuk, Nelson J
المؤلفAmini, Saeed
المؤلفAmini-Rarani, Mostafa
المؤلفAmiri, Fatemeh
المؤلفAmit, Arianna Maever L
المؤلفAmugsi, Dickson A
المؤلفAncuceanu, Robert
المؤلفAnderlini, Deanna
المؤلفAndrei, Catalina Liliana
المؤلفAndroudi, Sofia
المؤلفAnsari, Fereshteh
المؤلفAnsari-Moghaddam, Alireza
المؤلفAntonio, Carl Abelardo T
المؤلفAntony, Catherine M
المؤلفAntriyandarti, Ernoiz
المؤلفAnvari, Davood
المؤلفAnwer, Razique
المؤلفArabloo, Jalal
المؤلفArab-Zozani, Morteza
المؤلفAravkin, Aleksandr Y
المؤلفAremu, Olatunde
المؤلفÄrnlöv, Johan
المؤلفAsaad, Malke
المؤلفAsadi-Aliabadi, Mehran
المؤلفAsadi-Pooya, Ali A
المؤلفAshbaugh, Charlie
المؤلفAthari, Seyyed Shamsadin
المؤلفAtout, Maha Moh'd Wahbi
المؤلفAusloos, Marcel
المؤلفAvila-Burgos, Leticia
المؤلفAyala Quintanilla, Beatriz Paulina
المؤلفAyano, Getinet
المؤلفAyanore, Martin Amogre
المؤلفAynalem, Yared Asmare
المؤلفAynalem, Getie Lake
المؤلفAyza, Muluken Altaye
المؤلفAzari, Samad
المؤلفAzzopardi, Peter S
المؤلفB, Darshan B
المؤلفBabaee, Ebrahim
المؤلفBadiye, Ashish D
المؤلفBahrami, Mohammad Amin
المؤلفBaig, Atif Amin
المؤلفBakhshaei, Mohammad Hossein
المؤلفBakhtiari, Ahad
المؤلفBakkannavar, Shankar M
المؤلفBalachandran, Arun
المؤلفBalassyano, Shelly
المؤلفBanach, Maciej
المؤلفBanerjee, Srikanta K
المؤلفBanik, Palash Chandra
المؤلفBante, Agegnehu Bante
المؤلفBante, Simachew Animen
المؤلفBarker-Collo, Suzanne Lyn
المؤلفBärnighausen, Till Winfried
المؤلفBarrero, Lope H
المؤلفBassat, Quique
المؤلفBasu, Sanjay
المؤلفBaune, Bernhard T
المؤلفBayati, Mohsen
المؤلفBaye, Bayisa Abdissa
المؤلفBedi, Neeraj
المؤلفBeghi, Ettore
المؤلفBehzadifar, Masoud
المؤلفBekuma, Tariku Tesfaye Tesfaye
المؤلفBell, Michelle L
المؤلفBensenor, Isabela M
المؤلفBerman, Adam E
المؤلفBernabe, Eduardo
المؤلفBernstein, Robert S
المؤلفBhagavathula, Akshaya Srikanth
المؤلفBhandari, Dinesh
المؤلفBhardwaj, Pankaj
المؤلفBhat, Anusha Ganapati
المؤلفBhattacharyya, Krittika
المؤلفBhattarai, Suraj
المؤلفBhutta, Zulfiqar A
المؤلفBijani, Ali
المؤلفBikbov, Boris
المؤلفBilano, Ver
المؤلفBiondi, Antonio
المؤلفBirihane, Binyam Minuye
المؤلفBockarie, Moses John
المؤلفBohlouli, Somayeh
المؤلفBojia, Hunduma Amensisa
المؤلفBolla, Srinivasa Rao Rao
المؤلفBoloor, Archith
المؤلفBrady, Oliver J
المؤلفBraithwaite, Dejana
المؤلفBriant, Paul Svitil
المؤلفBriggs, Andrew M
المؤلفBriko, Nikolay Ivanovich
المؤلفBurugina Nagaraja, Sharath
المؤلفBusse, Reinhard
المؤلفButt, Zahid A
المؤلفCaetano dos Santos, Florentino Luciano
المؤلفCahuana-Hurtado, Lucero
المؤلفCámera, Luis Alberto
المؤلفCárdenas, Rosario
المؤلفCarreras, Giulia
المؤلفCarrero, Juan J
المؤلفCarvalho, Felix
المؤلفCastaldelli-Maia, Joao Mauricio
المؤلفCastañeda-Orjuela, Carlos A
المؤلفCastelpietra, Giulio
المؤلفCastro, Franz
المؤلفCatalá-López, Ferrán
المؤلفCausey, Kate
المؤلفCederroth, Christopher R
المؤلفCercy, Kelly M
المؤلفCerin, Ester
المؤلفChandan, Joht Singh
المؤلفChang, Angela Y
المؤلفCharan, Jaykaran
المؤلفChattu, Vijay Kumar
المؤلفChaturvedi, Sarika
المؤلفChin, Ken Lee
المؤلفCho, Daniel Youngwhan
المؤلفChoi, Jee-Young Jasmine
المؤلفChristensen, Hanne
المؤلفChu, Dinh-Toi
المؤلفChung, Michael T
المؤلفCiobanu, Liliana G
المؤلفCirillo, Massimo
المؤلفComfort, Haley
المؤلفCompton, Kelly
المؤلفCortesi, Paolo Angelo
المؤلفCosta, Vera Marisa
المؤلفCousin, Ewerton
المؤلفDahlawi, Saad M A
المؤلفDamiani, Giovanni
المؤلفDandona, Lalit
المؤلفDandona, Rakhi
المؤلفDarega Gela, Jiregna
المؤلفDarwesh, Aso Mohammad
المؤلفDaryani, Ahmad
المؤلفDash, Aditya Prasad
المؤلفDavey, Gail
المؤلفDávila-Cervantes, Claudio Alberto
المؤلفDavletov, Kairat
المؤلفDe Neve, Jan-Walter
المؤلفDenova-Gutiérrez, Edgar
المؤلفDeribe, Kebede
المؤلفDervenis, Nikolaos
المؤلفDesai, Rupak
المؤلفDharmaratne, Samath Dhamminda
المؤلفDhungana, Govinda Prasad
المؤلفDianatinasab, Mostafa
المؤلفDias da Silva, Diana
المؤلفDiaz, Daniel
المؤلفDippenaar, Ilse N
المؤلفDo, Hoa Thi
المؤلفDorostkar, Fariba
المؤلفDoshmangir, Leila
المؤلفDuncan, Bruce B
المؤلفDuraes, Andre Rodrigues
المؤلفEagan, Arielle Wilder
المؤلفEdvardsson, David
المؤلفEl Sayed, Iman
المؤلفEl Tantawi, Maha
المؤلفElgendy, Islam Y
المؤلفElyazar, Iqbal RF
المؤلفEskandari, Khalil
المؤلفEskandarieh, Sharareh
المؤلفEsmaeilnejad, Saman
المؤلفEsteghamati, Alireza
المؤلفEzekannagha, Oluchi
المؤلفFarag, Tamer
المؤلفFarahmand, Mohammad
المؤلفFaraon, Emerito Jose A
المؤلفFarinha, Carla Sofia e Sá
المؤلفFarioli, Andrea
المؤلفFaris, Pawan Sirwan
المؤلفFaro, Andre
المؤلفFazlzadeh, Mehdi
المؤلفFeigin, Valery L
المؤلفFernandes, Eduarda
المؤلفFerrara, Pietro
المؤلفFeyissa, Garumma Tolu
المؤلفFilip, Irina
المؤلفFischer, Florian
المؤلفFisher, James L
المؤلفFlor, Luisa Sorio
المؤلفFoigt, Nataliya A
المؤلفFolayan, Morenike Oluwatoyin
المؤلفFomenkov, Artem Alekseevich
المؤلفForoutan, Masoud
المؤلفFrancis, Joel Msafiri
المؤلفFu, Weijia
المؤلفFukumoto, Takeshi
المؤلفFurtado, João M
المؤلفGad, Mohamed M
المؤلفGaidhane, Abhay Motiramji
المؤلفGakidou, Emmanuela
المؤلفGalles, Natalie C
المؤلفGallus, Silvano
المؤلفGardner, William M
المؤلفGeberemariyam, Biniyam Sahiledengle
المؤلفGebrehiwot, Abiyu Mekonnen
المؤلفGebremeskel, Leake G
المؤلفGebremeskel, Gebreamlak Gebremedhn
المؤلفGesesew, Hailay Abrha
المؤلفGhadiri, Keyghobad
المؤلفGhafourifard, Mansour
المؤلفGhashghaee, Ahmad
المؤلفGhith, Nermin
المؤلفGholamian, Asadollah
المؤلفGilani, Syed Amir
المؤلفGill, Paramjit Singh
المؤلفGill, Tiffany K
المؤلفGinindza, Themba G
المؤلفGitimoghaddam, Mojgan
المؤلفGiussani, Giorgia
المؤلفGlagn, Mustefa
المؤلفGnedovskaya, Elena V
المؤلفGodinho, Myron Anthony
المؤلفGoharinezhad, Salime
المؤلفGopalani, Sameer Vali
المؤلفGoudarzian, Amir Hossein
المؤلفGoulart, Bárbara Niegia Garcia
المؤلفGubari, Mohammed Ibrahim Mohialdeen
المؤلفGuimarães, Rafael Alves
المؤلفGuled, Rashid Abdi
المؤلفGultie, Teklemariam
المؤلفGuo, Yuming
المؤلفGupta, Rajeev
المؤلفGupta, Rahul
المؤلفHafezi-Nejad, Nima
المؤلفHafiz, Abdul
المؤلفHaile, Teklehaimanot Gereziher
المؤلفHamadeh, Randah R
المؤلفHameed, Sajid
المؤلفHamidi, Samer
المؤلفHan, Chieh
المؤلفHan, Hannah
المؤلفHandiso, Demelash Woldeyohannes
المؤلفHanif, Asif
المؤلفHankey, Graeme J
المؤلفHaro, Josep Maria
المؤلفHasaballah, Ahmed I
المؤلفHasan, Md Mehedi
المؤلفHashi, Abdiwahab
المؤلفHassan, Shoaib
المؤلفHassan, Amr
المؤلفHassanipour, Soheil
المؤلفHassankhani, Hadi
المؤلفHavmoeller, Rasmus J
المؤلفHay, Simon I
المؤلفHayat, Khezar
المؤلفHeidari, Golnaz
المؤلفHeidari-Soureshjani, Reza
المؤلفHendrie, Delia
المؤلفHerteliu, Claudiu
المؤلفHird, Thomas R
المؤلفHo, Hung Chak
المؤلفHole, Michael K
المؤلفHolla, Ramesh
المؤلفHollingsworth, Bruce
المؤلفHoogar, Praveen
المؤلفHopf, Kathleen Pillsbury
المؤلفHorita, Nobuyuki
المؤلفHossain, Naznin
المؤلفHosseini, Mostafa
المؤلفHosseinzadeh, Mehdi
المؤلفHostiuc, Mihaela
المؤلفHostiuc, Sorin
المؤلفHouseh, Mowafa
المؤلفHsieh, Vivian Chia-rong
المؤلفHu, Guoqing
المؤلفHuda, Tanvir M
المؤلفHumayun, Ayesha
المؤلفHwang, Bing-Fang
المؤلفIavicoli, Ivo
المؤلفIbitoye, Segun Emmanuel
المؤلفIkeda, Nayu
المؤلفIlesanmi, Olayinka Stephen
المؤلفIlic, Irena M
المؤلفIlic, Milena D
المؤلفInbaraj, Leeberk Raja
المؤلفIqbal, Usman
المؤلفIrvani, Seyed Sina Naghibi
المؤلفIrvine, Caleb Mackay Salpeter
المؤلفIslam, M Mofizul
المؤلفIslam, Sheikh Mohammed Shariful
المؤلفIslami, Farhad
المؤلفIso, Hiroyasu
المؤلفIwu, Chinwe Juliana
المؤلفIwu, Chidozie C D
المؤلفJaafari, Jalil
المؤلفJadidi-Niaragh, Farhad
المؤلفJafarinia, Morteza
المؤلفJahagirdar, Deepa
المؤلفJahani, Mohammad Ali
المؤلفJahanmehr, Nader
المؤلفJakovljevic, Mihajlo
المؤلفJanjani, Hosna
المؤلفJavaheri, Tahereh
المؤلفJayatilleke, Achala Upendra
المؤلفJenabi, Ensiyeh
المؤلفJha, Ravi Prakash
المؤلفJha, Vivekanand
المؤلفJi, John S
المؤلفJia, Peng
المؤلفJohn-Akinola, Yetunde O
المؤلفJonas, Jost B
المؤلفJoukar, Farahnaz
المؤلفJozwiak, Jacek Jerzy
المؤلفJürisson, Mikk
المؤلفKabir, Zubair
المؤلفKalankesh, Leila R
المؤلفKalhor, Rohollah
المؤلفKamath, Aruna M
المؤلفKanchan, Tanuj
المؤلفKapoor, Neeti
المؤلفKarami Matin, Behzad
المؤلفKaranikolos, Marina
المؤلفKarimi, Seyed M
المؤلفKassebaum, Nicholas J
المؤلفKatikireddi, Srinivasa Vittal
المؤلفKayode, Gbenga A
المؤلفKeiyoro, Peter Njenga
المؤلفKhader, Yousef Saleh
المؤلفKhammarnia, Mohammad
المؤلفKhan, Maseer
المؤلفKhan, Ejaz Ahmad
المؤلفKhang, Young-Ho
المؤلفKhatab, Khaled
المؤلفKhater, Amir M
المؤلفKhater, Mona M
المؤلفKhatib, Mahalaqua Nazli
المؤلفKhayamzadeh, Maryam
المؤلفKhubchandani, Jagdish
المؤلفKianipour, Neda
المؤلفKim, Young-Eun
المؤلفKim, Yun Jin
المؤلفKimokoti, Ruth W
المؤلفKinfu, Yohannes
المؤلفKisa, Adnan
المؤلفKissimova-Skarbek, Katarzyna
المؤلفKivimäki, Mika
المؤلفKneib, Cameron J
المؤلفKocarnik, Jonathan M
المؤلفKochhar, Sonali
المؤلفKohler, Stefan
المؤلفKopec, Jacek A
المؤلفKorotkova, Anna V
المؤلفKorshunov, Vladimir Andreevich
المؤلفKosen, Soewarta
المؤلفKotlo, Anirudh
المؤلفKoul, Parvaiz A
المؤلفKoyanagi, Ai
المؤلفKrishan, Kewal
المؤلفKrohn, Kris J
المؤلفKugbey, Nuworza
المؤلفKulkarni, Vaman
المؤلفKumar, G Anil
المؤلفKumar, Nithin
المؤلفKumar, Manasi
المؤلفKurmi, Om P
المؤلفKusuma, Dian
المؤلفKyu, Hmwe Hmwe
المؤلفLa Vecchia, Carlo
المؤلفLacey, Ben
المؤلفLal, Dharmesh Kumar
المؤلفLalloo, Ratilal
المؤلفLandires, Iván
المؤلفLansingh, Van Charles
المؤلفLarsson, Anders O
المؤلفLasrado, Savita
المؤلفLau, Kathryn Mei-Ming
المؤلفLauriola, Paolo
المؤلفLazarus, Jeffrey V
المؤلفLedesma, Jorge R
المؤلفLee, Paul H
المؤلفLee, Shaun Wen Huey
المؤلفLeever, Andrew T
المؤلفLeGrand, Kate E
المؤلفLeigh, James
المؤلفLeonardi, Matilde
المؤلفLi, Shanshan
المؤلفLim, Stephen S
المؤلفLim, Lee-Ling
المؤلفLiu, Xuefeng
المؤلفLogroscino, Giancarlo
المؤلفLopez, Alan D
المؤلفLopukhov, Platon D
المؤلفLotufo, Paulo A
المؤلفLu, Alton
المؤلفMa, Jianing
المؤلفMadadin, Mohammed
المؤلفMahasha, Phetole Walter
المؤلفMahmoudi, Morteza
المؤلفMajeed, Azeem
المؤلفMalagón-Rojas, Jeadran N
المؤلفMaleki, Shokofeh
المؤلفMalta, Deborah Carvalho
المؤلفMansouri, Borhan
المؤلفMansournia, Mohammad Ali
المؤلفMartini, Santi
المؤلفMartins-Melo, Francisco Rogerlândio
المؤلفMartopullo, Ira
المؤلفMassenburg, Benjamin Ballard
المؤلفMastrogiacomo, Claudia I
المؤلفMathur, Manu Raj
المؤلفMcAlinden, Colm
المؤلفMcKee, Martin
المؤلفMedina-Solís, Carlo Eduardo
المؤلفMeharie, Birhanu Geta
المؤلفMehndiratta, Man Mohan
المؤلفMehrabi Nasab, Entezar
المؤلفMehri, Fereshteh
المؤلفMehrotra, Ravi
المؤلفMekonnen, Teferi
المؤلفMelese, Addisu
المؤلفMemiah, Peter T N
المؤلفMendoza, Walter
المؤلفMenezes, Ritesh G
المؤلفMensah, George A
المؤلفMeretoja, Tuomo J
المؤلفMeretoja, Atte
المؤلفMestrovic, Tomislav
المؤلفMiazgowski, Bartosz
المؤلفMichalek, Irmina Maria
المؤلفMirrakhimov, Erkin M
المؤلفMirzaei, Maryam
المؤلفMirzaei-Alavijeh, Mehdi
المؤلفMitchell, Philip B
المؤلفMoazen, Babak
المؤلفMoghadaszadeh, Masoud
المؤلفMohamadi, Efat
المؤلفMohammad, Yousef
المؤلفMohammad, Dara K
المؤلفMohammad Gholi Mezerji, Naser
المؤلفMohammadian-Hafshejani, Abdollah
المؤلفMohammed, Shafiu
المؤلفMohammed, Jemal Abdu
المؤلفMokdad, Ali H
المؤلفMonasta, Lorenzo
المؤلفMondello, Stefania
المؤلفMoradi, Masoud
المؤلفMoradi-Lakeh, Maziar
المؤلفMoradzadeh, Rahmatollah
المؤلفMoraga, Paula
المؤلفMorgado-da-Costa, Joana
المؤلفMorrison, Shane Douglas
المؤلفMosapour, Abbas
المؤلفMosser, Jonathan F
المؤلفMousavi Khaneghah, Amin
المؤلفMuriithi, Moses K
المؤلفMustafa, Ghulam
المؤلفNabhan, Ashraf F
المؤلفNaderi, Mehdi
المؤلفNagarajan, Ahamarshan Jayaraman
المؤلفNaghavi, Mohsen
المؤلفNaghshtabrizi, Behshad
المؤلفNaimzada, Mukhammad David
المؤلفNangia, Vinay
المؤلفNansseu, Jobert Richie
المؤلفNayak, Vinod C
المؤلفNazari, Javad
المؤلفNdejjo, Rawlance
المؤلفNegoi, Ionut
المؤلفNegoi, Ruxandra Irina
المؤلفNeupane, Subas
المؤلفNgari, Kiirithio N
المؤلفNguefack-Tsague, Georges
المؤلفNgunjiri, Josephine W
المؤلفNguyen, Cuong Tat
المؤلفNguyen, Diep Ngoc
المؤلفNguyen, Huong Lan Thi
المؤلفNnaji, Chukwudi A
المؤلفNomura, Shuhei
المؤلفNorheim, Ole F
المؤلفNoubiap, Jean Jacques
المؤلفNowak, Christoph
المؤلفNunez-Samudio, Virginia
المؤلفOtoiu, Adrian
المؤلفOgbo, Felix Akpojene
المؤلفOghenetega, Onome Bright
المؤلفOh, In-Hwan
المؤلفOkunga, Emmanuel Wandera
المؤلفOladnabi, Morteza
المؤلفOlagunju, Andrew T
المؤلفOlusanya, Jacob Olusegun
المؤلفOlusanya, Bolajoko Olubukunola
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تاريخ الإتاحة2023-08-28T10:34:04Z
تاريخ النشر2020-10-23
اسم المنشورThe Lancet
المعرّفhttp://dx.doi.org/10.1016/S0140-6736(20)30750-9
الرقم المعياري الدولي للكتاب01406736
معرّف المصادر الموحدhttps://www.sciencedirect.com/science/article/pii/S0140673620307509
معرّف المصادر الموحدhttp://hdl.handle.net/10576/46848
الملخصBackgroundAchieving 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 mapped 23 effective coverage indicators to a matrix representing health service types (eg, promotion, prevention, and treatment) and five population-age groups spanning from reproductive and newborn to older adults (≥65 years). Effective coverage indicators were based on intervention coverage or outcome-based measures such as mortality-to-incidence ratios to approximate access to quality care; outcome-based measures were transformed to values on a scale of 0–100 based on the 2·5th and 97·5th percentile of location-year values. We constructed the UHC effective coverage index by weighting each effective coverage indicator relative to its associated potential health gains, as measured by disability-adjusted life-years for each location-year and population-age group. For three tests of validity (content, known-groups, and convergent), UHC effective coverage index performance was generally better than that of other UHC service coverage indices from WHO (ie, the current metric for SDG indicator 3.8.1 on UHC service coverage), the World Bank, and GBD 2017. We quantified frontiers of UHC effective coverage performance on the basis of pooled health spending per capita, representing UHC effective coverage index levels achieved in 2019 relative to country-level government health spending, prepaid private expenditures, and development assistance for health. To assess current trajectories towards the GPW13 UHC billion target—1 billion more people benefiting from UHC by 2023—we estimated additional population equivalents with UHC effective coverage from 2018 to 2023. FindingsGlobally, performance on the UHC effective coverage index improved from 45·8 (95% uncertainty interval 44·2–47·5) in 1990 to 60·3 (58·7–61·9) in 2019, yet country-level UHC effective coverage in 2019 still spanned from 95 or higher in Japan and Iceland to lower than 25 in Somalia and the Central African Republic. Since 2010, sub-Saharan Africa showed accelerated gains on the UHC effective coverage index (at an average increase of 2·6% [1·9–3·3] per year up to 2019); by contrast, most other GBD super-regions had slowed rates of progress in 2010–2019 relative to 1990–2010. Many countries showed lagging performance on effective coverage indicators for non-communicable diseases relative to those for communicable diseases and maternal and child health, despite non-communicable diseases accounting for a greater proportion of potential health gains in 2019, suggesting that many health systems are not keeping pace with the rising non-communicable disease burden and associated population health needs. In 2019, the UHC effective coverage index was associated with pooled health spending per capita (r=0·79), although countries across the development spectrum had much lower UHC effective coverage than is potentially achievable relative to their health spending. Under maximum efficiency of translating health spending into UHC effective coverage performance, countries would need to reach $1398 pooled health spending per capita (US$ adjusted for purchasing power parity) in order to achieve 80 on the UHC effective coverage index. From 2018 to 2023, an estimated 388·9 million (358·6–421·3) more population equivalents would have UHC effective coverage, falling well short of the GPW13 target of 1 billion more people benefiting from UHC during this time. Current projections point to an estimated 3·1 billion (3·0–3·2) population equivalents still lacking UHC effective coverage in 2023, with nearly a third (968·1 million [903·5–1040·3]) residing in south Asia. InterpretationThe present study demonstrates the utility of measuring effective coverage and its role in supporting improved health outcomes for all people—the ultimate goal of UHC and its achievement. Global ambitions to accelerate progress on UHC service coverage are increasingly unlikely unless concerted action on non-communicable diseases occurs and countries can better translate health spending into improved performance. Focusing on effective coverage and accounting for the world's evolving health needs lays the groundwork for better understanding how close—or how far—all populations are in benefiting from UHC. FundingBill & Melinda Gates Foundation.
راعي المشروعLucas Guimarães Abreu acknowledges support from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (Capes) - Finance Code 001, Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG). Olatunji O Adetokunboh acknowledges South African Department of Science & Innovation, and National Research Foundation. Anurag Agrawal acknowledges support from the Wellcome Trust DBT India Alliance Senior Fellowship IA/CPHS/14/1/501489. Rufus Olusola Akinyemi acknowledges Grant U01HG010273 from the National Institutes of Health (NIH) as part of the H3Africa Consortium. Rufus Olusola Akinyemi is further supported by the FLAIR fellowship funded by the UK Royal Society and the African Academy of Sciences. Syed Mohamed Aljunid acknowledges the Department of Health Policy and Management, Faculty of Public Health, Kuwait University and International Centre for Casemix and Clinical Coding, Faculty of Medicine, National University of Malaysia for the approval and support to participate in this research project. Marcel Ausloos, Claudiu Herteliu, and Adrian Pana acknowledge partial support by a grant of the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. Till Winfried Bärnighausen acknowledges support from the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. Juan J Carrero was supported by the Swedish Research Council (2019-01059). Felix Carvalho acknowledges UID/MULTI/04378/2019 and UID/QUI/50006/2019 support with funding from FCT/MCTES through national funds. Vera Marisa Costa acknowledges support from grant (SFRH/BHD/110001/2015), received by Portuguese national funds through Fundação para a Ciência e a Tecnologia (FCT), IP, under the Norma Transit? 3 ria DL57/2016/CP1334/CT0006. Jan-Walter De Neve acknowledges support from the Alexander von Humboldt Foundation. Kebede Deribe acknowledges support by Wellcome Trust grant number 201900/Z/16/Z as part of his International Intermediate Fellowship. Claudiu Herteliu acknowledges partial support by a grant co-funded by European Fund for Regional Development through Operational Program for Competitiveness, Project ID P_40_382. Praveen Hoogar acknowledges the Centre for Bio Cultural Studies (CBiCS), Manipal Academy of Higher Education(MAHE), Manipal and Centre for Holistic Development and Research (CHDR), Kalghatgi. Bing-Fang Hwang acknowledges support from China Medical University (CMU108-MF-95), Taichung, Taiwan. Mihajlo Jakovljevic acknowledges the Serbian part of this GBD contribution was co-funded through the Grant OI175014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. Aruna M Kamath acknowledges funding from the National Institutes of Health T32 grant (T32GM086270). Srinivasa Vittal Katikireddi acknowledges funding from the Medical Research Council (MC_UU_12017/13 & MC_UU_12017/15), Scottish Government Chief Scientist Office (SPHSU13 & SPHSU15) and an NRS Senior Clinical Fellowship (SCAF/15/02). Yun Jin Kim acknowledges support from the Research Management Centre, Xiamen University Malaysia (XMUMRF/2018-C2/ITCM/0001). Kewal Krishan acknowledges support from the DST PURSE grant and UGC Center of Advanced Study (CAS II) awarded to the Department of Anthropology, Panjab University, Chandigarh, India. Manasi Kumar acknowledges support from K43 TW010716 Fogarty International Center/NIMH. Ben Lacey acknowledges support from the NIHR Oxford Biomedical Research Centre and the BHF Centre of Research Excellence, Oxford. Iván Landires is a member of the Sistema Nacional de Investigaci? 3 n (SNI), which is supported by the Secretaría Nacional de Ciencia Tecnología e Innovación (SENACYT), Panamá. Jeffrey V Lazarus acknowledges support by a Spanish Ministry of Science, Innovation and Universities Miguel Servet grant (Instituto de Salud Carlos III/ESF, European Union [CP18/00074]). Peter T N Memiah acknowledges CODESRIA; HISTP. Subas Neupane acknowledges partial support from the Competitive State Research Financing of the Expert Responsibility area of Tampere University Hospital. Shuhei Nomura acknowledges support from the Ministry of Education, Culture, Sports, Science, and Technology of Japan (18K10082). Alberto Ortiz acknowledges support by ISCIII PI19/00815, DTS18/00032, ISCIII-RETIC REDinREN RD016/0009 Fondos FEDER, FRIAT, Comunidad de Madrid B2017/BMD-3686 CIFRA2-CM. These funding sources had no role in the writing of the manuscript or the decision to submit it for publication. George C Patton acknowledges support from a National Health & Medical Research Council Fellowship. Marina Pinheiro acknowledges support from FCT for funding through program DL 57/2016 - Norma transit? 3 ria. Alberto Raggi, David Sattin, and Silvia Schiavolin acknowledge support by a grant from the Italian Ministry of Health (Ricerca Corrente, Fondazione Istituto Neurologico C Besta, Linea 4 - Outcome Research: dagli Indicatori alle Raccomandazioni Cliniche). Daniel Cury Ribeiro acknowledges support from the Sir Charles Hercus Health Research Fellowship - Health Research Council of New Zealand (18/111). Perminder S Sachdev acknowledges funding from the NHMRC Australia. Abdallah M Samy acknowledges support from a fellowship from the Egyptian Fulbright Mission Program. Milena M Santric-Milicevic acknowledges support from the Ministry of Education, Science and Technological Development of the Republic of Serbia (Contract No. 175087). Rodrigo Sarmiento-Suárez acknowledges institutional support from University of Applied and Environmental Sciences in Bogota, Colombia, and Carlos III Institute of Health in Madrid, Spain. Maria Inês Schmidt acknowledges grants from the Foundation for the Support of Research of the State of Rio Grande do Sul (IATS and PrInt) and the Brazilian Ministry of Health. Sheikh Mohammed Shariful Islam acknowledges a fellowship from the National Heart Foundation of Australia and Deakin University. Aziz Sheikh acknowledges support from Health Data Research UK. Kenji Shibuya acknowledges Japan Ministry of Education, Culture, Sports, Science and Technology. Joan B Soriano acknowledges support by Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. Rafael Tabarés-Seisdedos acknowledges partial support from grant PI17/00719 from ISCIII-FEDER. Santosh Kumar Tadakamadla acknowledges support from the National Health and Medical Research Council Early Career Fellowship, Australia. Marcello Tonelli acknowledges the David Freeze Chair in Health Services Research at the University of Calgary, AB, Canada.
اللغةen
الناشرElsevier
الموضوعGlobal Burden of Disease
Health Expenditures
Humans
Universal Health Insurance
World Health Organization
العنوانMeasuring 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 Burden of Disease Study 2019
النوعArticle
الصفحات1250-1284
رقم العدد10258
رقم المجلد396
Open Access user License http://creativecommons.org/licenses/by/4.0/


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