Assessing Latin America’s Progress Toward Achieving Universal Health Coverage

Autores
Wagstaff, Adam; Dmytraczenko, Tania; Almeida, Gisele; Buisman, Leander; Hoang Vu Eozenou, Patrick; Bredenkamp, Caryn; Cercone, James A.; Diaz, Yadira; Maceira, Daniel Alejandro; Molina, Silvia; Paraje, Guillermo; Ruiz, Fernando; Sarti, Flavia; Scott, John; Valdivia, Martin; Werneck, Heitor
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Fil: Wagstaff, Adam. World Bank; Estados Unidos
Fil: Dmytraczenko, Tania. World Bank; Estados Unidos
Fil: Almeida, Gisele. Pan American Health Organization; Estados Unidos
Fil: Buisman, Leander. Erasmus University Rotterdam; Países Bajos
Fil: Hoang Vu Eozenou, Patrick. World Bank; Estados Unidos
Fil: Bredenkamp, Caryn. World Bank; Estados Unidos
Fil: Cercone, James A.. Sanigest Internacional; Costa Rica
Fil: Diaz, Yadira. University Of Essex; Reino Unido
Fil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Molina, Silvia. Sanigest Internacional; Costa Rica
Fil: Paraje, Guillermo. Universidad Adolfo Ibañez; Chile
Fil: Ruiz, Fernando. Pontificia Universidad Javeriana; Colombia
Fil: Sarti, Flavia. Universidade de Sao Paulo; Brasil
Fil: Scott, John. Centro de Investigación y Docencia Económica; México
Fil: Valdivia, Martin. Grupo de Análisis para el Desarrollo; Perú
Fil: Werneck, Heitor. National Regulatory Agency for Private Insurance and Plans; Brasil
Materia
Access to Care
Disparities
Financing Health Care
Health Economics
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/45781

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network_name_str CONICET Digital (CONICET)
spelling Assessing Latin America’s Progress Toward Achieving Universal Health CoverageWagstaff, AdamDmytraczenko, TaniaAlmeida, GiseleBuisman, LeanderHoang Vu Eozenou, PatrickBredenkamp, CarynCercone, James A.Diaz, YadiraMaceira, Daniel AlejandroMolina, SilviaParaje, GuillermoRuiz, FernandoSarti, FlaviaScott, JohnValdivia, MartinWerneck, HeitorAccess to CareDisparitiesFinancing Health CareHealth Economicshttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Two 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.Fil: Wagstaff, Adam. World Bank; Estados UnidosFil: Dmytraczenko, Tania. World Bank; Estados UnidosFil: Almeida, Gisele. Pan American Health Organization; Estados UnidosFil: Buisman, Leander. Erasmus University Rotterdam; Países BajosFil: Hoang Vu Eozenou, Patrick. World Bank; Estados UnidosFil: Bredenkamp, Caryn. World Bank; Estados UnidosFil: Cercone, James A.. Sanigest Internacional; Costa RicaFil: Diaz, Yadira. University Of Essex; Reino UnidoFil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Molina, Silvia. Sanigest Internacional; Costa RicaFil: Paraje, Guillermo. Universidad Adolfo Ibañez; ChileFil: Ruiz, Fernando. Pontificia Universidad Javeriana; ColombiaFil: Sarti, Flavia. Universidade de Sao Paulo; BrasilFil: Scott, John. Centro de Investigación y Docencia Económica; MéxicoFil: Valdivia, Martin. Grupo de Análisis para el Desarrollo; PerúFil: Werneck, Heitor. National Regulatory Agency for Private Insurance and Plans; BrasilProject Hope2015-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/45781Wagstaff, Adam; Dmytraczenko, Tania; Almeida, Gisele; Buisman, Leander; Hoang Vu Eozenou, Patrick; et al.; Assessing Latin America’s Progress Toward Achieving Universal Health Coverage; Project Hope; Health Affairs; 34; 10; 10-2015; 1704-17121544-5208CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1377/hlthaff.2014.1453info:eu-repo/semantics/altIdentifier/url/https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2014.1453info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:06:35Zoai:ri.conicet.gov.ar:11336/45781instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:06:35.474CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
title Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
spellingShingle Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
Wagstaff, Adam
Access to Care
Disparities
Financing Health Care
Health Economics
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
dc.creator.none.fl_str_mv Wagstaff, Adam
Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander
Hoang Vu Eozenou, Patrick
Bredenkamp, Caryn
Cercone, James A.
Diaz, Yadira
Maceira, Daniel Alejandro
Molina, Silvia
Paraje, Guillermo
Ruiz, Fernando
Sarti, Flavia
Scott, John
Valdivia, Martin
Werneck, Heitor
author Wagstaff, Adam
author_facet Wagstaff, Adam
Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander
Hoang Vu Eozenou, Patrick
Bredenkamp, Caryn
Cercone, James A.
Diaz, Yadira
Maceira, Daniel Alejandro
Molina, Silvia
Paraje, Guillermo
Ruiz, Fernando
Sarti, Flavia
Scott, John
Valdivia, Martin
Werneck, Heitor
author_role author
author2 Dmytraczenko, Tania
Almeida, Gisele
Buisman, Leander
Hoang Vu Eozenou, Patrick
Bredenkamp, Caryn
Cercone, James A.
Diaz, Yadira
Maceira, Daniel Alejandro
Molina, Silvia
Paraje, Guillermo
Ruiz, Fernando
Sarti, Flavia
Scott, John
Valdivia, Martin
Werneck, Heitor
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Access to Care
Disparities
Financing Health Care
Health Economics
topic Access to Care
Disparities
Financing Health Care
Health Economics
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv 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.
Fil: Wagstaff, Adam. World Bank; Estados Unidos
Fil: Dmytraczenko, Tania. World Bank; Estados Unidos
Fil: Almeida, Gisele. Pan American Health Organization; Estados Unidos
Fil: Buisman, Leander. Erasmus University Rotterdam; Países Bajos
Fil: Hoang Vu Eozenou, Patrick. World Bank; Estados Unidos
Fil: Bredenkamp, Caryn. World Bank; Estados Unidos
Fil: Cercone, James A.. Sanigest Internacional; Costa Rica
Fil: Diaz, Yadira. University Of Essex; Reino Unido
Fil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Molina, Silvia. Sanigest Internacional; Costa Rica
Fil: Paraje, Guillermo. Universidad Adolfo Ibañez; Chile
Fil: Ruiz, Fernando. Pontificia Universidad Javeriana; Colombia
Fil: Sarti, Flavia. Universidade de Sao Paulo; Brasil
Fil: Scott, John. Centro de Investigación y Docencia Económica; México
Fil: Valdivia, Martin. Grupo de Análisis para el Desarrollo; Perú
Fil: Werneck, Heitor. National Regulatory Agency for Private Insurance and Plans; Brasil
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.
publishDate 2015
dc.date.none.fl_str_mv 2015-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/45781
Wagstaff, Adam; Dmytraczenko, Tania; Almeida, Gisele; Buisman, Leander; Hoang Vu Eozenou, Patrick; et al.; Assessing Latin America’s Progress Toward Achieving Universal Health Coverage; Project Hope; Health Affairs; 34; 10; 10-2015; 1704-1712
1544-5208
CONICET Digital
CONICET
url http://hdl.handle.net/11336/45781
identifier_str_mv Wagstaff, Adam; Dmytraczenko, Tania; Almeida, Gisele; Buisman, Leander; Hoang Vu Eozenou, Patrick; et al.; Assessing Latin America’s Progress Toward Achieving Universal Health Coverage; Project Hope; Health Affairs; 34; 10; 10-2015; 1704-1712
1544-5208
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1377/hlthaff.2014.1453
info:eu-repo/semantics/altIdentifier/url/https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2014.1453
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Project Hope
publisher.none.fl_str_mv Project Hope
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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