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Related Experiment Videos

Access, utilization, quality, and effective coverage: an integrated conceptual framework and measurement strategy.

Bakhuti Shengelia1, Ajay Tandon, Orvill B Adams

  • 1World Health Organization, Department of Chronic Diseases and Health Promotion, Geneva 27, CH 1211, Switzerland. shengeliab@who.int

Social Science & Medicine (1982)
|April 26, 2005
PubMed
Summary

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Effective coverage measures the likelihood individuals receive health gains from interventions they need. This framework helps analyze health system performance and identify gaps in delivering quality care to those who benefit most.

Area of Science:

  • Health Services Research
  • Public Health
  • Health Systems Analysis

Background:

  • Health systems aim to improve population health by delivering high-quality interventions.
  • Effective delivery of interventions to beneficiaries is crucial for health system performance.
  • Current metrics often fail to capture the actual health gains realized by individuals.

Purpose of the Study:

  • To introduce the concept of effective coverage for measuring health system performance.
  • To develop an integrated conceptual framework for monitoring intervention delivery.
  • To analyze factors influencing the gap between intervention need and realized health gain.

Main Methods:

  • Conceptual framework development for monitoring intervention delivery.

Related Experiment Videos

  • Integration of concepts like access, demand, utilization, and coverage.
  • Discussion of measurement strategies and use of a simulation model.

    • Main Results:

    • Proposed effective coverage as a probability of receiving health gain from an intervention when needed.
    • Developed a framework to analyze the delivery of high-quality interventions to those who require them.
    • Highlighted the importance of health information systems for sustained analysis.

    Conclusions:

    • Effective coverage offers a novel metric for assessing health system effectiveness.
    • The proposed framework aids in understanding and addressing gaps in intervention delivery.
    • Improved monitoring is essential for optimizing health system outcomes and population health.