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@article{Lozano:2020:10.1016/s0140-6736(20)30750-9,
author = {Lozano, R and Fullman, N and Mumford, JE and Knight, M and Barthelemy, CM and Abbafati, C and Abbastabar, H and Abd-Allah, F and Abdollahi, M and Abedi, A and Abolhassani, H and Abosetugn, AE and Abreu, LG and Abrigo, MRM and Abu, Haimed AK and Abushouk, AI and Adabi, M and Adebayo, OM and Adekanmbi, V and Adelson, J and Adetokunboh, OO and Adham, D and Advani, SM and Afshin, A and Agarwal, G and Agasthi, P and Aghamir, SMK and Agrawal, A and Ahmad, T and Akinyemi, RO and Alahdab, F and Al-Aly, Z and Alam, K and Albertson, SB and Alemu, YM and Alhassan, RK and Ali, M and Ali, S and Alipour, V and Aljunid, SM and Alla, F and Almadi, MAH and Almasi, A and Almasi-Hashiani, A and Almasri, NA and Al-Mekhlafi, HM and Almulhim, AM and Alonso, J and Al-Raddadi, RM and Altirkawi, KA and Alvis-Guzman, N and Alvis-Zakzuk, NJ and Amini, S and Amini-Rarani, M and Amiri, F and Amit, AML and Amugsi, DA and Ancuceanu, R and Anderlini, D and Andrei, CL and Androudi, S and Ansari, F and Ansari-Moghaddam},
doi = {10.1016/s0140-6736(20)30750-9},
journal = {The Lancet},
pages = {1250--1284},
title = {Measuring 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},
url = {http://dx.doi.org/10.1016/s0140-6736(20)30750-9},
volume = {396},
year = {2020}
}

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TY  - JOUR
AB  - BackgroundAchieving 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
AU  - Lozano,R
AU  - Fullman,N
AU  - Mumford,JE
AU  - Knight,M
AU  - Barthelemy,CM
AU  - Abbafati,C
AU  - Abbastabar,H
AU  - Abd-Allah,F
AU  - Abdollahi,M
AU  - Abedi,A
AU  - Abolhassani,H
AU  - Abosetugn,AE
AU  - Abreu,LG
AU  - Abrigo,MRM
AU  - Abu,Haimed AK
AU  - Abushouk,AI
AU  - Adabi,M
AU  - Adebayo,OM
AU  - Adekanmbi,V
AU  - Adelson,J
AU  - Adetokunboh,OO
AU  - Adham,D
AU  - Advani,SM
AU  - Afshin,A
AU  - Agarwal,G
AU  - Agasthi,P
AU  - Aghamir,SMK
AU  - Agrawal,A
AU  - Ahmad,T
AU  - Akinyemi,RO
AU  - Alahdab,F
AU  - Al-Aly,Z
AU  - Alam,K
AU  - Albertson,SB
AU  - Alemu,YM
AU  - Alhassan,RK
AU  - Ali,M
AU  - Ali,S
AU  - Alipour,V
AU  - Aljunid,SM
AU  - Alla,F
AU  - Almadi,MAH
AU  - Almasi,A
AU  - Almasi-Hashiani,A
AU  - Almasri,NA
AU  - Al-Mekhlafi,HM
AU  - Almulhim,AM
AU  - Alonso,J
AU  - Al-Raddadi,RM
AU  - Altirkawi,KA
AU  - Alvis-Guzman,N
AU  - Alvis-Zakzuk,NJ
AU  - Amini,S
AU  - Amini-Rarani,M
AU  - Amiri,F
AU  - Amit,AML
AU  - Amugsi,DA
AU  - Ancuceanu,R
AU  - Anderlini,D
AU  - Andrei,CL
AU  - Androudi,S
AU  - Ansari,F
AU  - Ansari-Moghaddam,A
AU  - Antonio,CAT
AU  - Antony,CM
AU  - Antriyandarti,E
AU  - Anvari,D
AU  - Anwer,R
AU  - Arabloo,J
AU  - Arab-Zozani,M
AU  - Aravkin,AY
AU  - Aremu,O
AU  - Ärnlöv,J
AU  - Asaad,M
AU  - Asadi-Aliabadi,M
AU  - Asadi-Pooya,AA
AU  - Ashbaugh,C
AU  - Athari,SS
AU  - Atout,MMW
AU  - Ausloos,M
AU  - Avila-Burgos,L
AU  - Ayala,Quintanilla BP
AU  - Ayano,G
AU  - Ayanore,MA
AU  - Aynalem,YA
AU  - Aynalem,GL
AU  - Ayza,MA
AU  - Azari,S
AU  - Azzopardi,PS
AU  - B,DB
AU  - Babaee,E
AU  - Badiye,AD
AU  - Bahrami,MA
AU  - Baig,AA
AU  - Bakhshaei,MH
AU  - Bakhtiari,A
AU  - Bakkannavar,SM
AU  - Balachandran,A
AU  - Balassyano,S
AU  - Banach,M
AU  - Banerjee,SK
AU  - Banik,PC
AU  - Bante,AB
AU  - Bante,SA
AU  - Barker-Collo,SL
AU  - Bärnighausen,TW
AU  - Barrero,LH
AU  - Bassat,Q
AU  - Basu,S
AU  - Baune,BT
AU  - Bayati,M
AU  - Baye,BA
AU  - Bedi,N
AU  - Beghi,E
AU  - Behzadifar,M
AU  - Bekuma,TTT
AU  - Bell,ML
AU  - Bensenor,IM
AU  - Berman,AE
AU  - Bernabe,E
AU  - Bernstein,RS
AU  - Bhagavathula,AS
AU  - Bhandari,D
AU  - Bhardwaj,P
AU  - Bhat,AG
AU  - Bhattacharyya,K
AU  - Bhattarai,S
AU  - Bhutta,ZA
AU  - Bijani,A
AU  - Bikbov,B
AU  - Bilano,V
AU  - Biondi,A
AU  - Birihane,BM
AU  - Bockarie,MJ
AU  - Bohlouli,S
AU  - Bojia,HA
AU  - Bolla,SRR
AU  - Boloor,A
AU  - Brady,OJ
AU  - Braithwaite,D
AU  - Briant,PS
AU  - Briggs,AM
AU  - Briko,NI
AU  - Burugina,Nagaraja S
AU  - Busse,R
AU  - Butt,ZA
AU  - Caetano,dos Santos FL
AU  - Cahuana-Hurtado,L
AU  - Cámera,LA
AU  - Cárdenas,R
AU  - Carreras,G
AU  - Carrero,JJ
AU  - Carvalho,F
AU  - Castaldelli-Maia,JM
AU  - Castañeda-Orjuela,CA
AU  - Castelpietra,G
AU  - Castro,F
AU  - Catalá-López,F
AU  - Causey,K
AU  - Cederroth,CR
AU  - Cercy,KM
AU  - Cerin,E
AU  - Chandan,JS
AU  - Chang,AY
AU  - Charan,J
DO  - 10.1016/s0140-6736(20)30750-9
EP  - 1284
PY  - 2020///
SN  - 0140-6736
SP  - 1250
TI  - Measuring 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
T2  - The Lancet
UR  - http://dx.doi.org/10.1016/s0140-6736(20)30750-9
UR  - https://www.sciencedirect.com/science/article/pii/S0140673620307509?via%3Dihub
UR  - http://hdl.handle.net/10044/1/82454
VL  - 396
ER  -

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