Universal health coverage: time to deliver on political promises

Tangcharoensathien, Viroj; Mills, Anne; Patcharanarumol, Walaiporn; Witthayapipopsakul, Woranan

doi:10.2471/blt.20.250597

Cited by 13 publications

(10 citation statements)

References 13 publications

(13 reference statements)

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“…Demirkol et al [28] descried that the analysis of the political manifestos or electoral programs of political parties provides the US with important clues about potential policy initiatives for different fields, including the economy, education, health, social security, and international relations. Common issues in the political manifesto are frequently those of interest to the general public, such as waiting time concerns to access healthcare services, universal health coverage, and other issues to improve the health and wellbeing of the population [29, 30,31].…”

Section: Communication Tools During Presidential Electionsmentioning

confidence: 99%

Prevalence of health priorities during presidential elections communication in France, Spain, and the US

Catalán-Matamoros

Navarro

2020

Journal of Communication in Healthcare

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Background: Health messages become most pertinent during elections, when citizens are more receptive to political messages. Political communication tools work to create a 'climate of opinion' to influence public sentiment and reporters' perceptions of health political ideologies and priorities. In considering how parties communicate with voters about health, this study aimed to examine the health-related discourse during presidential elections. Method: A content analysis was undertaken, including the political manifestos and the first address to the parliament of the elected candidate in the latest presidential elections of France, Spain, and the US. Results: A total of 266 content units were identified and analyzed. Findings revealed the dominance of the health-related political debate around the following themes: 'costs' (n = 89), 'health systems' (n = 59), 'healthcare' (n = 59), 'welfare' (n = 42), 'preventive care' (n = 22), and 'telehealth' (n = 21). The French campaign highlighted some current public health challenges, such as 'prevention' and 'health inequalities'. Conclusions: In the three analyzed countries, a narrow dimensional view of health was found in political communication materials, mainly focusing on health costs and healthcare services. The theoretical and practical implications of the findings are further discussed.

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Section: Communication Tools During Presidential Electionsmentioning

confidence: 99%

Prevalence of health priorities during presidential elections communication in France, Spain, and the US

Catalán-Matamoros

Navarro

2020

Journal of Communication in Healthcare

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“…Universal health coverage (UHC) is an important topic for the United Nations Sustainable Development Goals (1)(2)(3). The World Health Organization has used UHC as the theme of the World Health Report twice in a row (4). The 2016 annual report on world health statistics pointed out that achieving UHC has become an important goal and priority for the development of an international health system.…”

Section: Introductionmentioning

confidence: 99%

“…UHC is an ambitious goal in health service with sustainable development goal even during the COVID-19 Pandemic (4,(17)(18)(19). The lessons currently being learned from the COVID-19 pandemic in various countries around the world demonstrate the need to invest in health for all.…”

Section: Introductionmentioning

confidence: 99%

Effect of Health Insurance Policy on the Health Outcomes of the Middle-Aged and Elderly: Progress Toward Universal Health Coverage

Fan

Zhao

et al. 2022

Front. Public Health

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This population-based study aims to explore the effect of the integration of the Urban and Rural Residents' Basic Medical Insurance (URRBMI) policy on the health outcomes of the middle-aged and elderly. A total of 13,360 participants in 2011 and 15,082 participants in 2018 were drawn from the China Health and Retirement Longitudinal Study. Health outcomes were evaluated using the prevalence of chronic diseases. A generalized linear mixed model was used to analyze the effect of the URRBMI policy on the prevalence of chronic disease. Prior to the introduction of the URRBMI policy, 67.09% of the rural participants and 73.00% of the urban participants had chronic diseases; after the policy's implementation, 43.66% of the rural participants and 45.48% of the urban participants had chronic diseases. When adjusting for the confounding factors, the generalized linear mixed model showed that the risk of having a chronic disease decreased by 81% [odds ratio (OR) = 0.19; 95% confidence interval (CI): 0.16, 0.23] after the introduction of the policy in the urban participants; in the rural participants, the risk of having a chronic disease was 30% lower (OR = 0.70; 95% CI: 0.60, 0.82) than the risk in the urban participants before the policy and 84% lower (OR = 0.16; 95% CI: 0.14, 0.19) after the implementation of the policy; the differences in the ORs decreased from 0.30 prior to the policy to 0.03 after the policy had been introduced between rural and urban participants when adjusting for the influence of socioeconomic factors on chronic diseases. This study provides evidence of the positive effects of the URRBMI policy on improving the rural population's health outcomes and reducing the gap in health outcomes between rural and urban populations, indicating that the implementation of the URRBMI policy has promoted the coverage of universal health.

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“…Some authors argue that dignity may be a link that explains the interchange between the promotion and protection of human rights and an individual's health status. 4,5 Recently, a substantial body of literature reviewing and analyzing the concepts of 'dignity', 'care with dignity', and 'dignified care' have been published, 6,7 reinforcing that dignity is considered to be a fundamental right, subjectively experienced, and rooted in a person's perception of being treated and regarded as essential and valuable to others. 8 Care refers to the provision of a set of specific activities combined to provide help, protection, or supervision in a complex life-sustaining network.…”

Section: Introductionmentioning

confidence: 99%

Dignity in the care of older adults living in nursing homes and long-term care facilities

Wachholz

Giacomin²

2022

F1000Res

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Depending on the fields and actors involved, dignity may involve, signify, and encompass different meanings. This fundamental right can be subjectively experienced and rooted in a person's perception of being treated and cared for. Care refers to a set of specific activities combined in a complex life-sustaining network, including long-term Care, which involves various services designed to meet a person's health or personal care needs. However, older residents' human rights have been disrespected and widened the gaps between theory and practice regarding the precarious protection of their rights and dignity inside long-term facilities and nursing homes. This paper aims to discuss threats to dignity and elucidate some strategies to promote and conserve dignity in care, including the person-centered practice in long-term care. Some barriers to the dignity of older residents involve the organizational culture, restraints of time, heavy workload, burnout, and lack of partnership between the residents, their families, and the long-term care homes' staff. Person-centered integrated care quality frameworks are core components of a good quality of care in these spaces in high-income countries. Unfortunately, the COVID-19 pandemic highlighted how weak long-term care policies were and demonstrated that much progress in the dignity of care in long-term care facilities and nursing homes is needed. In low- and middle-income countries, long-term care policies do not accompany the accelerated and intense aging process, and there are other threats, like their invisibility to the public sector and the prejudices about this service model. It's urgent to create strategies for designing and implementing sustainable and equitable long- term care systems based on a person-centered service with dignity to everyone who needs it.

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Universal health coverage: time to deliver on political promises

Cited by 13 publications

References 13 publications

Prevalence of health priorities during presidential elections communication in France, Spain, and the US

Prevalence of health priorities during presidential elections communication in France, Spain, and the US

Effect of Health Insurance Policy on the Health Outcomes of the Middle-Aged and Elderly: Progress Toward Universal Health Coverage

Dignity in the care of older adults living in nursing homes and long-term care facilities

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