Challenges to Achieving Universal Health Coverage Throughout the World: A Systematic Review
Darrudi Alireza, Khoonsari Mohammad Hossein Ketabchi, Tajvar Maryam,
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( Darrudi Alireza )
Tehran University of Medical Sciences School of Public Health Department of Health Management and Economics
( Khoonsari Mohammad Hossein Ketabchi )
Tehran University of Medical Sciences School of Public Health Department of Health Management and Economics
( Tajvar Maryam )
Tehran University of Medical Sciences School of Public Health Department of Health Management and Economics
Abstract
Objectives: No systematic review has explored the challenges related to worldwide universal health coverage (UHC). This study reviewed challenges on the road to UHC.
Methods: A systematic electronic search of all studies that identified the challenges of worldwide UHC was conducted, without any restrictions related to the publication date or language. A hand search and a bibliographic search were also conducted to identify which texts to include in this study. These sources and citations yielded a total of 2500 articles, only 26 of which met the inclusion criteria. Relevant data from these papers were extracted, summarized, grouped, and reported in tables.
Results: Of the 26 included studies, 7 (27%) were reviews, 6 (23%) were reports, and 13 (50%) had another type of study design. The publication dates of the included studies ranged from 2011 to 2020. Nine studies (35%) were published in 2019. Using the World Health Organization conceptual model, data on all of the challenges related to UHC in terms of the 4 functions of health systems (stewardship, creating resource, financing, and delivering services) were extracted from the included studies and reported.
Conclusions: This study provides a straightforward summary of previous studies that explored the challenges related to UHC and conducted an in-depth analysis of viable solutions.
키워드
Challenges; Universal health coverage; Systematic review
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