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.
Adult
Africa
Americas
Asia
Europe
Health service needs and demand
Health services research
Older adult
Journal
Population health metrics
ISSN: 1478-7954
Titre abrégé: Popul Health Metr
Pays: England
ID NLM: 101178411
Informations de publication
Date de publication:
15 09 2023
15 09 2023
Historique:
received:
26
10
2022
accepted:
09
07
2023
medline:
18
9
2023
pubmed:
16
9
2023
entrez:
15
9
2023
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 37715182
doi: 10.1186/s12963-023-00308-8
pii: 10.1186/s12963-023-00308-8
pmc: PMC10503154
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
15Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Health Econ. 2021 Jul;30(7):1711-1716
pubmed: 33890334
Bull World Health Organ. 2019 Dec 1;97(12):849-850
pubmed: 31819294
BMJ Glob Health. 2021 Apr;6(4):
pubmed: 33903176
Lancet Glob Health. 2017 Sep;5(9):e875-e887
pubmed: 28728918
Int J Health Policy Manag. 2021 Nov 01;10(11):697-705
pubmed: 33619938
Lancet Public Health. 2018 Sep;3(9):e447-e455
pubmed: 30174210
Health Econ. 2020 Jul;29(7):827-840
pubmed: 32319145
Health Econ Policy Law. 2020 Oct;15(4):440-457
pubmed: 31018874
Int J Equity Health. 2019 Dec 21;18(1):198
pubmed: 31864355
BMC Health Serv Res. 2018 Jul 16;18(1):557
pubmed: 30012117
BMJ Open. 2021 May 28;11(5):e041032
pubmed: 34049900
BMJ Glob Health. 2019 Nov 12;4(6):e001871
pubmed: 31799000
BMJ Glob Health. 2018 Dec 20;3(Suppl 3):e001188
pubmed: 30622747
Lancet Glob Health. 2020 Jan;8(1):e39-e49
pubmed: 31837954
Health Policy Plan. 2017 Feb;32(1):43-56
pubmed: 27497138
JAMA. 2020 Oct 27;324(16):1603-1604
pubmed: 33006623
Value Health. 2019 Nov;22(11):1275-1282
pubmed: 31708064
BMC Geriatr. 2018 Apr 20;18(1):98
pubmed: 29678164
WHO South East Asia J Public Health. 2018 Apr;7(1):1-4
pubmed: 29582842
Eur J Public Health. 2017 Feb 1;27(suppl_1):82-89
pubmed: 28355635
J Gerontol B Psychol Sci Soc Sci. 2020 Jan 14;75(2):459-470
pubmed: 29471360
Nurs Ethics. 2021 Mar;28(2):149-178
pubmed: 33000674
BMJ Open. 2021 Aug 26;11(8):e045845
pubmed: 34446482