Related Experiment Video
Updated: Dec 4, 2025
23:56
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
17.0K
Autocratisation and universal health coverage: synthetic control study.
Simon Wigley1, Joseph L Dieleman2, Tara Templin3
1Department of Philosophy, Bilkent University, Ankara, Turkey wigley@bilkent.edu.tr.
BMJ (Clinical Research Ed.)
|October 24, 2020
Summary
Autocratisation hinders population health and universal health coverage (UHC) progress. Countries with declining democracy showed worse outcomes in life expectancy, UHC coverage, and health spending compared to projections.
Area of Science:
- Global Health
- Political Science
- Epidemiology
Background:
- Autocratisation, characterized by decreased democratic traits, is a growing global trend.
- Understanding its impact on population health and universal health coverage (UHC) is crucial.
Purpose of the Study:
- To assess the relationship between autocratisation and population health outcomes.
- To evaluate the effect of autocratisation on progress toward universal health coverage (UHC).
Main Methods:
- Synthetic control analysis applied to a global sample of countries (1989-2019).
- Comparison of 17 autocratising countries with 119 non-autocratising control countries.
- Outcome measures included HIV-free life expectancy, UHC effective coverage index, and out-of-pocket health spending.
Main Results:
- Autocratising countries showed poorer outcomes in all measured health indicators 10 years post-autocratisation.
- Estimated losses included a 1.3% reduction in life expectancy and a 8.3% deficit in UHC coverage.
- Out-of-pocket health spending increased by 5.6% more than estimated in autocratising nations.
Conclusions:
- Democratic erosion negatively impacts population health gains and UHC progress.
- Global health institutions must adapt strategies for countries with diminishing democratic accountability.
- Policy recommendations need to address the reduced incentive for quality healthcare in autocratising states.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
3.8K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.8K
01:30Primary Healthcare Services
1.8K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.8K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
284
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
284
01:03Drug Control Governance: Regulatory Bodies and Their Impact
388
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
388
01:26Principles of Disease Surveillance
364
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
364
01:11Secondary Healthcare System
1.8K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.8K