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Health service coverage and its evaluation

T Tanahashi

    Bulletin of the World Health Organization
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Health service coverage measures the interaction between services and populations. Evaluating coverage helps identify service delivery bottlenecks and informs development strategies.

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    Area of Science:

    • Health Services Research
    • Public Health Policy

    Background:

    • Health service coverage is a key metric for assessing healthcare accessibility and effectiveness.
    • Understanding the extent of interaction between health services and target populations is crucial for service improvement.

    Purpose of the Study:

    • To define and operationalize the concept of health service coverage.
    • To establish a framework for measuring health service coverage at various stages of service delivery.
    • To enable the identification of bottlenecks and inform strategies for service development.

    Main Methods:

    • Defined health service coverage as the extent of interaction across the entire service provision process.
    • Identified key stages in service provision, each with a measurable condition.
    • Developed coverage measures as ratios of individuals meeting conditions to the target population.

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  • Introduced the concept of 'specific coverage' for subgroup analysis.
  • Main Results:

    • A multi-stage measurement framework for health service coverage was established.
    • The framework allows for the calculation of specific coverage rates based on demographic, socioeconomic, or service-related factors.
    • The approach facilitates the identification of specific points of failure within the service delivery chain.

    Conclusions:

    • The proposed coverage measurement framework provides a comprehensive tool for evaluating health service performance.
    • It enables health service managers to pinpoint operational bottlenecks and analyze contributing factors.
    • This evaluation supports the development of targeted interventions to enhance health service delivery and outcomes.