Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing.

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dc.citation.issue1
dc.citation.volume21
dc.contributor.authorKowal P
dc.contributor.authorCorso B
dc.contributor.authorAnindya K
dc.contributor.authorAndrade FCD
dc.contributor.authorGiang TL
dc.contributor.authorGuitierrez MTC
dc.contributor.authorPothisiri W
dc.contributor.authorQuashie NT
dc.contributor.authorReina HAR
dc.contributor.authorRosenberg M
dc.contributor.authorTowers A
dc.contributor.authorVicerra PMM
dc.contributor.authorMinicuci N
dc.contributor.authorNg N
dc.contributor.authorByles J
dc.coverage.spatialEngland
dc.date.accessioned2024-06-16T23:25:57Z
dc.date.available2024-06-16T23:25:57Z
dc.date.issued2023-09-15
dc.description.abstractCurrent measures for monitoring progress towards universal health coverage (UHC) do not adequately account for populations that do not have the same level of access to quality care services and/or financial protection to cover health expenses for when care is accessed. This gap in accounting for unmet health care needs may contribute to underutilization of needed services or widening inequalities. Asking people whether or not their needs for health care have been met, as part of a household survey, is a pragmatic way of capturing this information. This analysis examined responses to self-reported questions about unmet need asked as part of 17 health, social and economic surveys conducted between 2001 and 2019, representing 83 low-, middle- and high-income countries. Noting the large variation in questions and response categories, the results point to low levels (less than 2%) of unmet need reported in adults aged 60+ years in countries like Andorra, Qatar, Republic of Korea, Slovenia, Thailand and Viet Nam to rates of over 50% in Georgia, Haiti, Morocco, Rwanda, and Zimbabwe. While unique, these estimates are likely underestimates, and do not begin to address issues of poor quality of care as a barrier or contributing to unmet need in those who were able to access care. Monitoring progress towards UHC will need to incorporate estimates of unmet need if we are to reach universality and reduce health inequalities in older populations.
dc.description.confidentialfalse
dc.format.pagination15-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37715182
dc.identifier.citationKowal P, Corso B, Anindya K, Andrade FCD, Giang TL, Guitierrez MTC, Pothisiri W, Quashie NT, Reina HAR, Rosenberg M, Towers A, Vicerra PMM, Minicuci N, Ng N, Byles J. (2023). Prevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing.. Popul Health Metr. 21. 1. (pp. 15-).
dc.identifier.doi10.1186/s12963-023-00308-8
dc.identifier.eissn1478-7954
dc.identifier.elements-typejournal-article
dc.identifier.issn1478-7954
dc.identifier.number15
dc.identifier.pii10.1186/s12963-023-00308-8
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69851
dc.languageeng
dc.publisherBioMed Central Ltd
dc.publisher.urihttps://pophealthmetrics.biomedcentral.com/articles/10.1186/s12963-023-00308-8
dc.relation.isPartOfPopul Health Metr
dc.rights(c) 2023 WHO
dc.rightsCC BY 3.0 IGO
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/igo/
dc.subjectAdult
dc.subjectAfrica
dc.subjectAmericas
dc.subjectAsia
dc.subjectEurope
dc.subjectHealth service needs and demand
dc.subjectHealth services research
dc.subjectOlder adult
dc.subjectHumans
dc.subjectAged
dc.subjectPrevalence
dc.subjectUniversal Health Insurance
dc.subjectAging
dc.subjectHealth Facilities
dc.subjectIncome
dc.titlePrevalence of unmet health care need in older adults in 83 countries: measuring progressing towards universal health coverage in the context of global population ageing.
dc.typeJournal article
pubs.elements-id480431
pubs.organisational-groupCollege of Health
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