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Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing

Current measures for monitoring progress towards universal health coverage (UHC) do not adequately account for populations that do not have the same level of access to quality care services and/or financial protection to cover health expenses for when care is accessed. This gap in accounting for unm...

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Autores principales: Kowal, Paul, Corso, Barbara, Anindya, Kanya, Andrade, Flavia C. D., Giang, Thanh Long, Guitierrez, Maria Teresa Calzada, Pothisiri, Wiraporn, Quashie, Nekehia T., Reina, Herney Alonso Rengifo, Rosenberg, Megumi, Towers, Andy, Vicerra, Paolo Miguel Manalang, Minicuci, Nadia, Ng, Nawi, Byles, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503154/
https://www.ncbi.nlm.nih.gov/pubmed/37715182
http://dx.doi.org/10.1186/s12963-023-00308-8
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author Kowal, Paul
Corso, Barbara
Anindya, Kanya
Andrade, Flavia C. D.
Giang, Thanh Long
Guitierrez, Maria Teresa Calzada
Pothisiri, Wiraporn
Quashie, Nekehia T.
Reina, Herney Alonso Rengifo
Rosenberg, Megumi
Towers, Andy
Vicerra, Paolo Miguel Manalang
Minicuci, Nadia
Ng, Nawi
Byles, Julie
author_facet Kowal, Paul
Corso, Barbara
Anindya, Kanya
Andrade, Flavia C. D.
Giang, Thanh Long
Guitierrez, Maria Teresa Calzada
Pothisiri, Wiraporn
Quashie, Nekehia T.
Reina, Herney Alonso Rengifo
Rosenberg, Megumi
Towers, Andy
Vicerra, Paolo Miguel Manalang
Minicuci, Nadia
Ng, Nawi
Byles, Julie
author_sort Kowal, Paul
collection PubMed
description Current measures for monitoring progress towards universal health coverage (UHC) do not adequately account for populations that do not have the same level of access to quality care services and/or financial protection to cover health expenses for when care is accessed. This gap in accounting for unmet health care needs may contribute to underutilization of needed services or widening inequalities. Asking people whether or not their needs for health care have been met, as part of a household survey, is a pragmatic way of capturing this information. This analysis examined responses to self-reported questions about unmet need asked as part of 17 health, social and economic surveys conducted between 2001 and 2019, representing 83 low-, middle- and high-income countries. Noting the large variation in questions and response categories, the results point to low levels (less than 2%) of unmet need reported in adults aged 60+ years in countries like Andorra, Qatar, Republic of Korea, Slovenia, Thailand and Viet Nam to rates of over 50% in Georgia, Haiti, Morocco, Rwanda, and Zimbabwe. While unique, these estimates are likely underestimates, and do not begin to address issues of poor quality of care as a barrier or contributing to unmet need in those who were able to access care. Monitoring progress towards UHC will need to incorporate estimates of unmet need if we are to reach universality and reduce health inequalities in older populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12963-023-00308-8.
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spelling pubmed-105031542023-09-16 Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing Kowal, Paul Corso, Barbara Anindya, Kanya Andrade, Flavia C. D. Giang, Thanh Long Guitierrez, Maria Teresa Calzada Pothisiri, Wiraporn Quashie, Nekehia T. Reina, Herney Alonso Rengifo Rosenberg, Megumi Towers, Andy Vicerra, Paolo Miguel Manalang Minicuci, Nadia Ng, Nawi Byles, Julie Popul Health Metr Research Current measures for monitoring progress towards universal health coverage (UHC) do not adequately account for populations that do not have the same level of access to quality care services and/or financial protection to cover health expenses for when care is accessed. This gap in accounting for unmet health care needs may contribute to underutilization of needed services or widening inequalities. Asking people whether or not their needs for health care have been met, as part of a household survey, is a pragmatic way of capturing this information. This analysis examined responses to self-reported questions about unmet need asked as part of 17 health, social and economic surveys conducted between 2001 and 2019, representing 83 low-, middle- and high-income countries. Noting the large variation in questions and response categories, the results point to low levels (less than 2%) of unmet need reported in adults aged 60+ years in countries like Andorra, Qatar, Republic of Korea, Slovenia, Thailand and Viet Nam to rates of over 50% in Georgia, Haiti, Morocco, Rwanda, and Zimbabwe. While unique, these estimates are likely underestimates, and do not begin to address issues of poor quality of care as a barrier or contributing to unmet need in those who were able to access care. Monitoring progress towards UHC will need to incorporate estimates of unmet need if we are to reach universality and reduce health inequalities in older populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12963-023-00308-8. BioMed Central 2023-09-15 /pmc/articles/PMC10503154/ /pubmed/37715182 http://dx.doi.org/10.1186/s12963-023-00308-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/3.0/igo/Open AccessThe Article is licensed under the terms of the Creative Commons Attribution 3.0 IGO Licence (https://creativecommons.org/licenses/by/3.0/igo (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits use, sharing, adaptation, distribution, and reproduction in any medium or format, as long as appropriate credit is given to the IGO, a link is provided to the Creative Commons licence, and any changes made are indicated.
spellingShingle Research
Kowal, Paul
Corso, Barbara
Anindya, Kanya
Andrade, Flavia C. D.
Giang, Thanh Long
Guitierrez, Maria Teresa Calzada
Pothisiri, Wiraporn
Quashie, Nekehia T.
Reina, Herney Alonso Rengifo
Rosenberg, Megumi
Towers, Andy
Vicerra, Paolo Miguel Manalang
Minicuci, Nadia
Ng, Nawi
Byles, Julie
Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title_full Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title_fullStr Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title_full_unstemmed Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title_short Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
title_sort prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503154/
https://www.ncbi.nlm.nih.gov/pubmed/37715182
http://dx.doi.org/10.1186/s12963-023-00308-8
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