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Comparative health system performance in six middle-income countries: cross-sectional analysis using World Health Organization study of global ageing and health.
- Source :
- Journal of the Royal Society of Medicine; Sep2017, Vol. 110 Issue 9, p365-375, 11p, 6 Charts
- Publication Year :
- 2017
-
Abstract
- Objective To assess and compare health system performance across six middle-income countries that are strengthening their health systems in pursuit of universal health coverage. Design Cross-sectional analysis from the World Health Organization Study on global AGEing and adult health, collected between 2007 and 2010. Setting Six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. Participants Nationally representative sample of adults aged 50 years and older. Main outcome measures We present achievement against key indicators of health system performance across effectiveness, cost, access, patient-centredness and equity domains. Results We found areas of poor performance in prevention and management of chronic conditions, such as hypertension control and cancer screening coverage. We also found that cost remains a barrier to healthcare access in spite of insurance schemes. Finally, we found evidence of disparities across many indicators, particularly in the effectiveness and patient centredness domains. Conclusions These findings identify important focus areas for action and shared learning as these countries move towards achieving universal health coverage. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC disease treatment
MEDICAL care standards
CLINICAL medicine
COMPARATIVE studies
DEVELOPING countries
HEALTH services accessibility
HEALTH status indicators
INCOME
HEALTH insurance
RESEARCH methodology
MEDICAL cooperation
RESEARCH
RESEARCH funding
ETHNOLOGY research
EVALUATION research
KEY performance indicators (Management)
CROSS-sectional method
PATIENT-centered care
Subjects
Details
- Language :
- English
- ISSN :
- 01410768
- Volume :
- 110
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of the Royal Society of Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 125122630
- Full Text :
- https://doi.org/10.1177/0141076817724599