Universal health coverage and universal access

Evans, David B.; Hsu, Justine; Boerma, Ties

doi:10.2471/blt.13.125450

Cited by 281 publications

(242 citation statements)

References 5 publications

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“…This difference could be due to difference in socio-demographic characteristics and health care facilities among this study and the comparison studies. According to WHO, a health service is not accessible if it takes one hour and above of round trip [30]; in this study, for 45.5% of the participants it takes more than one hour to get a service which could lead to missing of appointments. Moreover, in Sunderland study participants who were taking only anti hypertensive medication for greater than 6 months and merely taking antihypertensive drugs were included.…”

Section: Discussionmentioning

confidence: 97%

Drug adherence for antihypertensive medications and its determinants among adult hypertensive patients attending in chronic clinics of referral hospitals in Northwest Ethiopia

Mekonnen

Gebrie

Eyasu

et al. 2017

BMC Pharmacol Toxicol

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BackgroundAdherence to prescribed medication is an imperative issue which can be directly linked with the management of chronic diseases like hypertension; failure to adhere can affect the effectiveness of medication as well as the efficiency of the health care system. There is scarcity of information regarding the level of drug adherence for antihypertensive medications and its determinants in Ethiopia, particularly in the study area. Therefore, the aim of this study was to assess adherence level and its determinants for antihypertensive medications among adult hypertensive patients attending the chronic illness clinics of the referral hospitals in northwest Ethiopia.MethodsInstitution based cross sectional study was conducted from March to April, 2016. The systematic random sampling technique was used to select 409 study participants from three referral hospitals. The questionnaire was prepared using the World Health Organization (WHO) conceptual model and by reviewing international literature. The data were collected using an interviewer administered questionnaire. The data were entered in to Epi - Info version 7 and then transferred to the statistical package for social science (SPSS) version 20 for data cleaning and analysis.Bivariate analysis was first done to see the association between each independent variables and dependent variable. Variables with a P-value of less than 0.2 in the bivariate analysis were entered in to the multivariate logistic regression model for final analysis. Multivariate analysis was done using Backward logistic regression method. P-value less than 0.05 was considered to determine the statistical significance of the association and odds ratio with a 95% confidence interval was used to determine the presence, strength, and direction of association between covariates (explanatory variables) and the outcome variable. The Morisky medication adherence scale was used to assess the adherence status using > = 6 as adherent or < 6 as non adherent score.ResultsFour hundred and nine (409) study participants were interviewed with a response rate of 100%. The mean age of the respondents was 54.5 years with (Standard Deviation (SD) ± 13.58). The overall rate of good adherence was 67.2% (95% CI = 62.8, 71.6). Participants who had a favourable attitude towards antihypertensive medications (Adjusted odds ratio (AOR) = 9.88, 95% confidence interval (CI): 5.34, 18.27), having good patient- provider relationship (AOR = 4.25, 95% CI: 2.32, 7.86), having one (AOR = 4.36, 95% CI: 1.34, 14.12) or no (AOR = 3.38, 95% CI:1.01,11.31) co-morbidities, a long duration of treatment (AOR = 1.89, 95%CI: 1.07, 3.35), and a low medical cost (AOR = 2.06, 95% CI: 1.13, 3.76) had associations with good drug adherence for antihypertensive medication/s.ConclusionsThe prevalence of good drug adherence for anti-hypertensive medications in this study was high. Prevention of co- morbidities, making medical services accessible, and maintaining good client-provider interaction are of paramount importance for good drug adherence.

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Section: Discussionmentioning

confidence: 97%

Drug adherence for antihypertensive medications and its determinants among adult hypertensive patients attending in chronic clinics of referral hospitals in Northwest Ethiopia

Mekonnen

Gebrie

Eyasu

et al. 2017

BMC Pharmacol Toxicol

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“…These interrelated factors are some of the biggest challenges in delivering health care globally [13] and comprise the “iron triangle” of health care [14]. To advance the performance of the health system, the components of the triangle need to be in equilibrium [15].…”

Section: Introductionmentioning

confidence: 99%

The impact of mHealth interventions on health systems: a systematic review protocol

et al. 2016

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BackgroundMobile health (mHealth) has been described as a health enabling tool that impacts positively on the health system in terms of improved access, quality and cost of health care. The proposed systematic review will examine the impact of mHealth on health systems by assessing access, quality and cost of health care as indicators.MethodsThe systematic review will include literature from various sources including published and unpublished/grey literature. The databases to be searched include: PubMed, Cochrane Library, Google Scholar, NHS Health Technology Assessment Database and Web of Science. The reference lists of studies will be screened and conference proceedings searched for additional eligible reports. Literature to be included will have mHealth as the primary intervention. Two authors will independently screen the search output, select studies and extract data; discrepancies will be resolved by consensus and discussion with the assistance of the third author.DiscussionThe systematic review will inform policy makers, investors, health professionals, technologists and engineers about the impact of mHealth in strengthening the health system. In particular, it will focus on three metrics to determine whether mHealth strengthens the health system, namely quality of, access to and cost of health care services.Systematic review registration: PROSPERO CRD42015026070 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0387-1) contains supplementary material, which is available to authorized users.

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“…1 Universal access to services is a necessary precondition to achieving universal health coverage. 2 The regular monitoring of access to services and service delivery is often a weak component of country and global monitoring of progress and performance. Yet health policy-makers, planners and managers need sound evidence on which to base decisions about resource allocation and for programme monitoring and evaluation.…”

Section: Introductionmentioning

confidence: 99%

Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment

O’Neill

Takane

Sheffel

et al. 2013

Bull. World Health Organ.

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169

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Universal health coverage and universal access

Cited by 281 publications

References 5 publications

Drug adherence for antihypertensive medications and its determinants among adult hypertensive patients attending in chronic clinics of referral hospitals in Northwest Ethiopia

Drug adherence for antihypertensive medications and its determinants among adult hypertensive patients attending in chronic clinics of referral hospitals in Northwest Ethiopia

The impact of mHealth interventions on health systems: a systematic review protocol

Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment

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