Progressive realisation of universal health coverage: what are the required processes and evidence?

BMJ Global Health
Rob BaltussenOle F Norheim

Abstract

Progressive realisation is invoked as the guiding principle for countries on their own path to universal health coverage (UHC). It refers to the governmental obligations to immediately and progressively move towards the full realisation of UHC. This paper provides procedural guidance for countries, that is, how they can best organise their processes and evidence collection to make decisions on what services to provide first under progressive realisation. We thereby use 'evidence-informed deliberative processes', a generic value assessment framework to guide decision making on the choice of health services. We apply this to the concept of progressive realisation of UHC. We reason that countries face two important choices to achieve UHC. First, they need to define which services they consider as high priority, on the basis of their social values, including cost-effectiveness, priority to the worse off and financial risk protection. Second, they need to make tough choices whether they should first include more priority services, first expand coverage of existing priority services or first reduce co-payments of existing priority services. Evidence informed deliberative processes can facilitate these choices for UHC, and are also es...Continue Reading

References

Nov 25, 2000·BMJ : British Medical Journal·N Daniels
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
Dec 14, 2012·BMC Health Services Research·Noor Tromp, Rob Baltussen
Dec 7, 2013·Lancet·Dean T JamisonGavin Yamey
Jan 23, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Praveen ThokalaMaarten Ijzerman
Feb 8, 2016·Health Policy·Trygve OttersenOle Frithjof Norheim
Jul 5, 2016·PharmacoEconomics·Stéphane VerguetDean T Jamison
Nov 2, 2016·International Journal of Health Policy and Management·Rob BaltussenGert Jan Van der Wilt
Dec 19, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Beth WoodsKarl Claxton
Dec 21, 2016·Bulletin of the World Health Organization·Melanie Y BertramSuzanne R Hill
Feb 27, 2017·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Rob BaltussenGert Jan van der Wilt
Sep 2, 2017·BMJ : British Medical Journal·Marlee Tichenor, Devi Sridhar
Jan 2, 2016·Health Systems and Reform·Amanda GlassmanPeter C Smith

❮ Previous
Next ❯

Citations

Aug 24, 2019·International Journal of Health Policy and Management·Nicole BergenRonald Labonté
Jul 6, 2019·International Journal for Equity in Health·Alicia Ely YaminPaola Bergallo
Jul 23, 2020·Health Research Policy and Systems·Joël Arthur KiendrébéogoBruno Meessen
Sep 4, 2019·The Lancet Global Health·Louis W Niessen, S Bertel Squire

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.