Artículo de revista
Assessment of universal health coverage for adults aged 50 years or older with chronic illness in six middle-income countries Évaluation de la couverture sanitaire universelle pour des adultes de 50 ans ou plus, atteints de maladie chronique, dans six pay
Fecha
2016Registro en:
Bulletin of the World Health Organization, Volumen 94, Issue 4, 2018, Pages 276-285C
15640604
00429686
10.2471/BLT.15.163832
Autor
Goeppel, Christine
Frenz, Patricia
Grabenhenrich, Linus
Keil, Thomas
Tinnemann, Peter
Institución
Resumen
© 2016, Bull World Health Organ. All rights reserved. Objective To assess universal health coverage for adults aged 50 years or older with chronic illness in China, Ghana, India, Mexico, the Russian Federation and South Africa. Methods We obtained data on 16 631 participants aged 50 years or older who had at least one diagnosed chronic condition from the World Health Organization Study on Global Ageing and Adult Health. Access to basic chronic care and financial hardship were assessed and the influence of health insurance and rural or urban residence was determined by logistic regression analysis. Findings The weighted proportion of participants with access to basic chronic care ranged from 20.6% in Mexico to 47.6% in South Africa. Access rates were unequally distributed and disadvantaged poor people, except in South Africa where primary health care is free to all. Rural residence did not affect access. The proportion with catastrophic out-of-pocket expenditure for the last outpatient