Article type
Year
Abstract
Background:
This study builds on previous successes of using tracer indicators in tracking progress towards UHC and complements them by offering a more detailed framework that would allow identifying potential factors that impede or advance such progress. This tool was designed accounting for possibly available data in low- and middle-income counties.
Methods:
A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus and ProQuest databases with no time restriction. The search was complemented by a scoping review of grey literature, using the World Bank and WHO official reports depositories. Inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes were explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys.
Results:
416 themes (including indicators and determinants factors) were extracted from 170 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into seven domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance, and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators.
Conclusions:
Despite various challenges, PPPs in PHC can facilitate access to health care services, especially in remote areas. Governments should consider longterm plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context.
Patient and health care consumer involvement:
Patients and health care consumers were not involved in the research.
This study builds on previous successes of using tracer indicators in tracking progress towards UHC and complements them by offering a more detailed framework that would allow identifying potential factors that impede or advance such progress. This tool was designed accounting for possibly available data in low- and middle-income counties.
Methods:
A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus and ProQuest databases with no time restriction. The search was complemented by a scoping review of grey literature, using the World Bank and WHO official reports depositories. Inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes were explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys.
Results:
416 themes (including indicators and determinants factors) were extracted from 170 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into seven domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance, and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators.
Conclusions:
Despite various challenges, PPPs in PHC can facilitate access to health care services, especially in remote areas. Governments should consider longterm plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context.
Patient and health care consumer involvement:
Patients and health care consumers were not involved in the research.