1
Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada
2
Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
3
Canada Research Chair, Globalization and Health Equity, Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
Implementing universal health coverage (UHC) is widely perceived to be central to achieving the Sustainable Development Goals (SDGs), and is a work program priority of the World Health Organization (WHO). Much has already been written about how low- and middle-income countries (LMICs) can monitor progress towards UHC, with various UHC monitoring frameworks available in the literature. However, we suggest that these frameworks are largely irrelevant in high-income contexts and that the international community still needs to develop UHC monitoring framework meaningful for high-income countries (HICs). As a first step, this short communication presents preliminary findings from a literature review and document analysis on how various countries monitor their own progress towards achieving UHC. It furthermore offers considerations to guide meaningful UHC monitoring and reflects on pertinent challenges and tensions to inform future research on UHC implementation in HIC settings.
Tangcharoensathien V, Mills A, Palu T. Accelerating health equity: the key role of universal health coverage in the Sustainable Development Goals. BMC Med. 2015;13:101. doi:10.1186/s12916-015-0342-3
McKee M, Balabanova D, Basu S, Ricciardi W, Stuckler D. Universal health coverage: a quest for all countries but under threat in some. Value Health. 2013;16(1 Suppl):S39-45. doi:10.1016/j.jval.2012.10.001
Whiteside H. Canada’s health care “crisis”: Accumulation by dispossession and the neoliberal fix. Stud Polit Econ. 2009;84(1):79-100. doi:10.1080/19187033.2009.11675047
Borgonovi E, Compagni A. Sustaining universal health coverage: the interaction of social, political, and economic sustainability. Value Health. 2013;16(1 Suppl):S34-38. doi:10.1016/j.jval.2012.10.006
Fullman N, Lozano R. Towards a meaningful measure of universal health coverage for the next billion. Lancet Glob Health. 2018;6(2):e122-e123. doi:10.1016/s2214-109x(17)30487-4
Hogan DR, Stevens GA, Hosseinpoor AR, Boerma T. Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services. Lancet Glob Health. 2018;6(2):e152-e168. doi:10.1016/s2214-109x(17)30472-2
Lai T, Habicht T, Jesse M. Monitoring and evaluating progress towards Universal Health Coverage in Estonia. PLoS Med. 2014;11(9):e1001677. doi:10.1371/journal.pmed.1001677
Aguilera X, Castillo-Laborde C, Ferrari MN, Delgado I, Ibanez C. Monitoring and evaluating progress towards universal health coverage in Chile. PLoS Med. 2014;11(9):e1001676. doi:10.1371/journal.pmed.1001676
Tan KB, Tan WS, Bilger M, Ho CW. Monitoring and evaluating progress towards Universal Health Coverage in Singapore. PLoS Med. 2014;11(9):e1001695. doi:10.1371/journal.pmed.1001695
The PLOS "monitoring universal health coverage" collection: managing expectations. PLoS Med. 2014;11(9):e1001732. doi:10.1371/journal.pmed.1001732
Gibbons L, Belizan JM, Lauer JA, Betran AP, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World Health Rep. 2010;30:1-31.
Boerma T, Eozenou P, Evans D, Evans T, Kieny MP, Wagstaff A. Monitoring progress towards universal health coverage at country and global levels. PLoS Med. 2014;11(9):e1001731. doi:10.1371/journal.pmed.1001731
Hosseinpoor AR, Bergen N, Koller T, et al. Equity-oriented monitoring in the context of universal health coverage. PLoS Med. 2014;11(9):e1001727. doi:10.1371/journal.pmed.1001727
Rodney AM, Hill PS. Achieving equity within universal health coverage: a narrative review of progress and resources for measuring success. Int J Equity Health. 2014;13:72. doi:10.1186/s12939-014-0072-8
Hanratty B, Zhang T, Whitehead M. How close have universal health systems come to achieving equity in use of curative services? A systematic review. Int J Health Serv. 2007;37(1):89-109. doi:10.2190/ttx2-3572-ul81-62w7
Valentine NB, Koller TS, Hosseinpoor AR. Monitoring health determinants with an equity focus: a key role in addressing social determinants, universal health coverage, and advancing the 2030 sustainable development agenda. Glob Health Action. 2016;9:34247. doi:10.3402/gha.v9.34247
Buse K, Hawkes S. Health in the sustainable development goals: ready for a paradigm shift? Global Health. 2015;11:13. doi:10.1186/s12992-015-0098-8
Hosseinpoor AR, Bergen N, Schlotheuber A, Grove J. Measuring health inequalities in the context of sustainable development goals. Bull World Health Organ. 2018;96(9):654-659. doi:10.2471/blt.18.210401
Hosseinpoor AR, Bergen N. Health Inequality Monitoring: A Practical Application of Population Health Monitoring. In: Verschuuren M, van Oers H, eds. Population Health Monitoring: Climbing the Information Pyramid. Cham: Springer International Publishing; 2019:151-173. doi:10.1007/978-3-319-76562-4_8
Hosseinpoor AR, Bergen N, Magar V. Monitoring inequality: an emerging priority for health post-2015. Bull World Health Organ. 2015;93(9):591-591A. doi:10.2471/blt.15.162081
Baltussen R, Jansen MP, Bijlmakers L, Tromp N, Yamin AE, Norheim OF. Progressive realisation of universal health coverage: what are the required processes and evidence? BMJ Glob Health. 2017;2(3):e000342. doi:10.1136/bmjgh-2017-000342
Jannati A, Sadeghi V, Imani A, Saadati M. Effective coverage as a new approach to health system performance assessment: a scoping review. BMC Health Serv Res. 2018;18(1):886. doi:10.1186/s12913-018-3692-7
Stuckler D, Feigl AB, Basu S, McKee M. The political economy of universal health coverage. Montreux, Switzerland: Global Symposium on Health Systems Research; 2010.
Bergen,N. , Ruckert,A. and Labonté,R. (2019). Monitoring Frameworks for Universal Health Coverage: What About High-Income Countries?. International Journal of Health Policy and Management, 8(7), 387-393. doi: 10.15171/ijhpm.2019.21
MLA
Bergen,N. , , Ruckert,A. , and Labonté,R. . "Monitoring Frameworks for Universal Health Coverage: What About High-Income Countries?", International Journal of Health Policy and Management, 8, 7, 2019, 387-393. doi: 10.15171/ijhpm.2019.21
HARVARD
Bergen N., Ruckert A., Labonté R. (2019). 'Monitoring Frameworks for Universal Health Coverage: What About High-Income Countries?', International Journal of Health Policy and Management, 8(7), pp. 387-393. doi: 10.15171/ijhpm.2019.21
CHICAGO
N. Bergen, A. Ruckert and R. Labonté, "Monitoring Frameworks for Universal Health Coverage: What About High-Income Countries?," International Journal of Health Policy and Management, 8 7 (2019): 387-393, doi: 10.15171/ijhpm.2019.21
VANCOUVER
Bergen N., Ruckert A., Labonté R. Monitoring Frameworks for Universal Health Coverage: What About High-Income Countries?. IJHPM, 2019; 8(7): 387-393. doi: 10.15171/ijhpm.2019.21