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¿El progreso hacia la cobertura universal de salud mejora la salud de la población?
Rodrigo Moreno-Serra1, Peter C Smith
1Business School and Centre for Health Policy, Imperial College London, London, UK.
Lancet (London, England)
|September 11, 2012
Resumen
La expansión de la cobertura universal de salud mejora la salud de la población y el acceso a la atención, especialmente para los grupos desfavorecidos. Se necesita más investigación para maximizar la efectividad, teniendo en cuenta factores como la gobernanza.
Área de la Ciencia:
- Política y economía de la salud.
- Salud Global La salud global.
- Salud Pública La salud pública.
Sus antecedentes:
- La cobertura universal de salud (UHC) se promueve ampliamente para mejorar la salud de la población.
- El progreso hacia la cobertura sanitaria universal implica la expansión de la agrupación de riesgos y los mecanismos de pago anticipado.
- La evidencia empírica que vincula las expansiones de la cobertura con los resultados de salud requiere una revisión sólida.
Objetivo del estudio:
- Revisar la evidencia empírica transnacional sobre la relación entre las expansiones de la cobertura de salud y los resultados de salud de la población.
- Centrarse en los efectos en la salud de la agrupación de riesgos extendida y el pago anticipado como indicadores del progreso de la cobertura sanitaria universal.
- Identificar las limitaciones en la base de evidencia actual y sugerir áreas para futuras investigaciones.
Principales métodos:
- Revisión sistemática de la evidencia empírica de varios países.
- Análisis de datos sobre la cobertura de salud, el acceso a la atención y los resultados de salud de la población.
- Centrarse en estudios que examinen la agrupación de riesgos y el pago anticipado como medidas de la cobertura sanitaria universal.
Principales resultados:
- Una cobertura de salud más amplia generalmente se asocia con un mejor acceso a la atención médica necesaria.
- Las expansiones en la cobertura de salud impactan positivamente en los resultados de salud de la población, particularmente para las poblaciones empobrecidas.
- La evidencia sugiere un vínculo entre la agrupación de riesgos extendida / pago anticipado y mejores resultados de salud.
Conclusiones:
- El progreso hacia la cobertura universal de salud, indicado por una mayor agrupación de riesgos y pago anticipado, generalmente mejora la salud de la población y el acceso a la atención.
- Los efectos positivos son particularmente pronunciados entre las poblaciones más pobres.
- Los datos y las limitaciones metodológicas requieren más investigación para optimizar la efectividad de la cobertura de salud extendida, incluyendo el papel de la calidad institucional y la gobernanza.
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