Lozano, Rafael and Haakenstad, Annie and Yearwood, Jamal Akeem and Fullman, Nancy and Bintz, Corinne and Bienhoff, Kelly and Weaver, Marcia R. and Nandakumar, Vishnu and Joffe, Jonah N. and LeGrand, Kate E. and Knight, Megan and Abbafati, Cristiana and Abbasi-Kangevari, Mohsen and Abdoli, Amir and Abeldano Zuniga, Roberto Ariel and Adedeji, Isaac Akinkunmi and Adekanmbi, Victor and Adetokunboh, Olatunji O. and Afzal, Muhammad Sohail and Afzal, Saira and Agudelo-Botero, Marcela and Ahinkorah, Bright Opoku and Ahmad, Sajjad and Ahmadi, Ali and Ahmadi, Sepideh and Ahmed, Ali and Rashid, Tarik Ahmed and Aji, Budi and Akande-Sholabi, Wuraola and Alam, Khurshid and Al Hamad, Hanadi and Alhassan, Robert Kaba and Ali, Liaqat and Alipour, Vahid and Aljunid, Syed Mohamed and Ameyaw, Edward Kwabena and Amin, Tarek Tawfik and Amu, Hubert and Amugsi, Dickson A. and Ancuceanu, Robert and Andrade, Pedro Prata and Anjum, Afifa and Arabloo, Jalal and Arab-Zozani, Morteza and Ariffin, Hany and Arulappan, Judie and Aryan, Zahra and Ashraf, Tahira and Atnafu, Desta Debalkie and Atreya, Alok and Ausloos, Marcel and Avila-Burgos, Leticia and Ayano, Getinet and Ayanore, Martin Amogre and Azari, Samad and Badiye, Ashish D. and Baig, Atif Amin and Bairwa, Mohan and Bakkannavar, Shankar M. and Baliga, Shrikala and Banik, Palash Chandra and Baernighausen, Till Winfried and Barra, Fabio and Barrow, Amadou and Basu, Sanjay and Bayati, Mohsen and Belete, Rebuma and Bell, Arielle Wilder and Bhagat, Devidas S. and Bhagavathula, Akshaya Srikanth and Bhardwaj, Pankaj and Bhardwaj, Nikha and Bhaskar, Sonu and Bhattacharyya, Krittika and Bhutta, Zulfiqar A. and Bibi, Sadia and Bijani, Ali and Bikbov, Boris and Biondi, Antonio and Bolarinwa, Obasanjo Afolabi and Bonny, Aime and Brenner, Hermann and Buonsenso, Danilo and Burkart, Katrin and Busse, Reinhard and Butt, Zahid A. and Butt, Nadeem Shafique and Caetano dos Santos, Florentino Luciano and Cahuana-Hurtado, Lucero and Alberto Camera, Luis and Cardenas, Rosario and Carneiro, Vera L. A. and Catala-Lopez, Ferran and Chandan, Joht Singh and Charan, Jaykaran and Chavan, Prachi P. and Chen, Simiao and Chen, Shu and Choudhari, Sonali Gajanan and Chowdhury, Enayet Karim and Chowdhury, Mohiuddin Ahsanul Kabir and Cirillo, Massimo and Corso, Barbara and Dadras, Omid and Dahlawi, Saad M. A. and Dai, Xiaochen and Dandona, Lalit and Dandona, Rakhi and Dangel, William James and Alberto Davila-Cervantes, Claudio and Davletov, Kairat and Deuba, Keshab and Dhimal, Meghnath and Dhimal, Mandira Lamichhane and Djalalinia, Shirin and Do, Huyen Phuc and Doshmangir, Leila and Duncan, Bruce B. and Effiong, Andem and Ehsani-Chimeh, Elham and Elgendy, Islam Y. and Elhadi, Muhammed and El Sayed, Iman and El Tantawi, Maha and Erku, Daniel Asfaw and Eskandarieh, Sharareh and Fares, Jawad and Farzadfar, Farshad and Ferrero, Simone and Desideri, Lorenzo Ferro and Fischer, Florian and Foigt, Nataliya A. and Foroutan, Masoud and Fukumoto, Takeshi and Gaal, Peter Andras and Gaihre, Santosh and Gardner, William M. and Garg, Tushar and Obsa, Abera Getachew and Ghafourifard, Mansour and Ghashghaee, Ahmad and Ghith, Nermin and Gilani, Syed Amir and Gill, Paramjit Singh and Goharinezhad, Salime and Golechha, Mahaveer and Guadamuz, Jenny S. and Guo, Yuming and Das Gupta, Rajat and Gupta, Rajeev and Gupta, Vivek Kumar and Gupta, Veer Bala and Hamiduzzaman, Mohammad and Hanif, Asif and Maria Haro, Josep and Hasaballah, Ahmed I. and Hasan, Md Mehedi and Hasan, M. Tasdik and Hashi, Abdiwahab and Hay, Simon I. and Hayat, Khezar and Heidari, Mohammad and Heidari, Golnaz and Henry, Nathaniel J. and Herteliu, Claudiu and Holla, Ramesh and Hossain, Sahadat and Hossain, Sheikh Jamal and Hossain, Mohammad Bellal Hossain and Hosseinzadeh, Mehdi and Hostiuc, Sorin and Hoveidamanesh, Soodabeh and Hsieh, Vivian Chia-rong and Hu, Guoqing and Huang, Junjie and Huda, M. Mamun and Ifeagwu, Susan C. and Ikuta, Kevin S. and Ilesanmi, Olayinka Stephen and Irvani, Seyed Sina Naghibi and Islam, Rakibul M. and Islam, Sheikh Mohammed Shariful and Ismail, Nahlah Elkudssiah and Iso, Hiroyasu and Isola, Gaetano and Itumalla, Ramaiah and Iwagami, Masao and Jahani, Mohammad Ali and Jahanmehr, Nader and Jain, Rajesh and Jakovljevic, Mihajlo and Janodia, Manthan Dilipkumar and Jayapal, Sathish Kumar and Jayaram, Shubha and Jha, Ravi Prakash and Jonas, Jost B. and Joo, Tamas and Joseph, Nitin and Jurisson, Mikk and Kabir, Ali and Kalankesh, Leila R. and Kalhor, Rohollah and Kamath, Aruna M. and Kamenov, Kaloyan and Kandel, Himal and Kantar, Rami S. and Kapoor, Neeti and Karanikolos, Marina and Katikireddi, Srinivasa Vittal and Kavetskyy, Taras and Kawakami, Norito and Kayode, Gbenga A. and Keikavoosi-Arani, Leila and Keykhaei, Mohammad and Khader, Yousef Saleh and Khajuria, Himanshu and Khalilov, Rovshan and Khammarnia, Mohammad and Khan, Md Nuruzzaman and Khan, Moien A. B. and Khan, Maseer and Khezeli, Mehdi and Kim, Min Seo and Kim, Yun Jin and Kisa, Sezer and Kisa, Adnan and Klymchuk, Vitalii and Koly, Kamrun Nahar and Korzh, Oleksii and Kosen, Soewarta and Koul, Parvaiz A. and Defo, Barthelemy Kuate and Kumar, G. Anil and Kusuma, Dian and Kyu, Hmwe Hmwe and Larsson, Anders O. and Lasrado, Savita and Lee, Wei-Chen and Lee, Yo Han and Lee, Chiachi Bonnie and Li, Shanshan and Lucchetti, Giancarlo and Mahajan, Preetam Bhalchandra and Majeed, Azeem and Makki, Alaa and Malekzadeh, Reza and Malik, Ahmad Azam and Malta, Deborah Carvalho and Mansournia, Mohammad Ali and Mantovani, Lorenzo Giovanni and Martinez-Valle, Adolfo and Martins-Melo, Francisco Rogerlandio and Masoumi, Seyedeh Zahra and Mathur, Manu Raj and Maude, Richard James and Maulik, Pallab K. and McKee, Martin and Mendoza, Walter and Menezes, Ritesh G. and Mensah, George A. and Meretoja, Atte and Meretoja, Tuomo J. and Mestrovic, Tomislav and Michalek, Irmina Maria and Mirrakhimov, Erkin M. and Misganaw, Awoke and Misra, Sanjeev and Moazen, Babak and Mohammadi, Mokhtar and Mohammed, Shafiu and Moitra, Modhurima and Mokdad, Ali H. and Molokhia, Mariam and Monasta, Lorenzo and Moni, Mohammad Ali and Moradi, Ghobad and Moreira, Rafael Silveira and Mosser, Jonathan F. and Mostafavi, Ebrahim and Mouodi, Simin and Nagarajan, Ahamarshan Jayaraman and Nagata, Chie and Naghavi, Mohsen and Nangia, Vinay and Swamy, Sreenivas Narasimha and Narayana, Aparna Ichalangod and Nascimento, Bruno Ramos and Nassereldine, Hasan and Nayak, Biswa Prakash and Nazari, Javad and Negoi, Ionut and Nepal, Samata and Kandel, Sandhya Neupane and Ngunjiri, Josephine W. and Nguyen, Huong Lan Thi and Nguyen, Cuong Tat and Ningrum, Dina Nur Anggraini and Noubiap, Jean Jacques and Oancea, Bogdan and Oghenetega, Onome Bright and Oh, In-Hwan and Olagunju, Andrew T. and Olakunde, Babayemi Oluwaseun and Bali, Ahmed Omar and Omer, Emad and Onwujekwe, Obinna E. and Otoiu, Adrian and Padubidri, Jagadish Rao and Palladino, Raffaele and Pana, Adrian and Panda-Jonas, Songhomitra and Pandi-Perumal, Seithikurippu R. and Pardhan, Shahina and Pasupula, Deepak Kumar and Pathak, Praveen Kumar and Patton, George C. and Pawar, Shrikant and Pereira, Jeevan and Pilania, Manju and Piroozi, Bakhtiar and Podder, Vivek and Pokhrel, Khem Narayan and Postma, Maarten J. and Prada, Sergio I. and Syed, Zahiruddin Quazi and Rabiee, Navid and Radhakrishnan, Raghu Anekal and Rahman, Md. Mosfequr and Rahman, Mosiur and Rahman, Mahfuzar and Rahman, Mohammad Hifz Ur and Rahmani, Amir Masoud and Ranabhat, Chhabi Lal and Rao, Chythra R. and Rao, Sowmya J. and Rasella, Davide and Rawaf, Salman and Rawaf, David Laith and Rawal, Lal and Renzaho, Andre M. N. and Reshmi, Bhageerathy and Resnikoff, Serge and Rezapour, Aziz and Riahi, Seyed Mohammad and Ripon, Rezaul Karim and Sacco, Simona and Sadeghi, Masoumeh and Saeed, Umar and Sahebkar, Amirhossein and Sahiledengle, Biniyam and Sahoo, Harihar and Sahu, Maitreyi and Salama, Joseph S. and Salamati, Payman and Samy, Abdallah M. and Sanabria, Juan and Santric-Milicevic, Milena M. and Sathian, Brijesh and Sawhney, Monika and Schmidt, Maria Ines and Seidu, Abdul-Aziz and Sepanlou, Sadaf G. and Seylani, Allen and Shaikh, Masood Ali and Sheikh, Aziz and Shetty, Adithi and Shigematsu, Mika and Shiri, Rahman and Shivakumar, K. M. and Shokri, Azad and Singh, Jasvinder A. and Sinha, Dhirendra Narain and Skryabin, Valentin Yurievich and Skryabina, Anna Aleksandrovna and Sofi-Mahmudi, Ahmad and Sousa, Raul A. R. C. and Stephens, Jacqueline H. and Sun, Jing and Szocska, Miklos and Tabares-Seisdedos, Rafael and Tadbiri, Hooman and Tamiru, Animut Tagele and Thankappan, Kavumpurathu Raman and Topor-Madry, Roman and Tovani-Palone, Marcos Roberto and Tran, Mai Thi Ngoc and Tran, Bach Xuan and Tripathi, Niharika and Tripathy, Jaya Prasad and Troeger, Christopher E. and Robles Uezono, Deinzel and Ullah, Saif and Ullah, Anayat and Unnikrishnan, Bhaskaran and Vacante, Marco and Tahbaz, Sahel Valadan and Valdez, Pascual R. and Vasic, Milena and Veroux, Massimiliano and Vervoort, Dominique and Violante, Francesco S. and Vladimirov, Sergey Konstantinovitch and Vlassov, Vasily and Vo, Bay and Waheed, Yasir and Wamai, Richard G. and Wang, Yuan-Pang and Wang, Yanzhong and Ward, Paul and Wiangkham, Taweewat and Yadav, Lalit and Jabbari, Seyed Hossein Yahyazadeh and Yamagishi, Kazumasa and Yaya, Sanni and Yazdi-Feyzabadi, Vahid and Yi, Siyan and Yigit, Vahit and Yonemoto, Naohiro and Younis, Mustafa Z. and Yu, Chuanhua and Yunusa, Ismaeel and Bin Zaman, Sojib and Zastrozhin, Mikhail Sergeevich and Zhang, Zhi-Jiang and Zhong, Chenwen and Zuniga, Yves Miel H. and Lim, Stephen S. and Murray, Christopher J. L. and Lozano, Rafael and Quality, GBD 2019 Healthcare Access (2022) Assessing performance of the Healthcare Access and Quality Index, overall and by select age groups, for 204 countries and territories, 1990-2019: A systematic analysis from the Global Burden of Disease Study 2019. LANCET GLOBAL HEALTH, 10 (12). E1715-E1743. ISSN 2214-109X, DOI https://doi.org/10.1016/S2214-109X(22)00429-6.
Full text not available from this repository.Abstract
Background Health-care needs change throughout the life course. It is thus crucial to assess whether health systems provide access to quality health care for all ages. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019), we measured the Healthcare Access and Quality (HAQ) Index overall and for select age groups in 204 locations from 1990 to 2019. Methods We distinguished the overall HAQ Index (ages 0-74 years) from scores for select age groups: the young (ages 0-14 years), working (ages 15-64 years), and post-working (ages 65-74 years) groups. For GBD 2019, HAQ Index construction methods were updated to use the arithmetic mean of scaled mortality-to-incidence ratios (MIRs) and risk-standardised death rates (RSDRs) for 32 causes of death that should not occur in the presence of timely, quality health care. Across locations and years, MIRs and RSDRs were scaled from 0 (worst) to 100 (best) separately, putting the HAQ Index on a different relative scale for each age group. We estimated absolute convergence for each group on the basis of whether the HAQ Index grew faster in absolute terms between 1990 and 2019 in countries with lower 1990 HAQ Index scores than countries with higher 1990 HAQ Index scores and by Socio-demographic Index (SDI) quintile. SDI is a summary metric of overall development. Findings Between 1990 and 2019, the HAQ Index increased overall (by 19.6 points, 95% uncertainty interval 17.9-21.3), as well as among the young (22.5, 19.9-24.7), working (17.2, 15.2-19.1), and post-working (15.1, 13.2-17.0) age groups. Large differences in HAQ Index scores were present across SDI levels in 2019, with the overall index ranging from 30.7 (28.6-33.0) on average in low-SDI countries to 83.4 (82.4-84.3) on average in highSDI countries. Similarly large ranges between low-SDI and high-SDI countries, respectively, were estimated in the HAQ Index for the young (40.4-89.0), working (33.8-82.8), and post-working (30.4-79.1) groups. Absolute convergence in HAQ Index was estimated in the young group only. In contrast, divergence was estimated among the working and post-working groups, driven by slow progress in low-SDI countries. Interpretation Although major gaps remain across levels of social and economic development, convergence in the young group is an encouraging sign of reduced disparities in health-care access and quality. However, divergence in the working and post-working groups indicates that health-care access and quality is lagging at lower levels of social and economic development. To meet the needs of ageing populations, health systems need to improve health-care access and quality for working-age adults and older populations while continuing to realise gains among the young. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
| Item Type: | Article |
|---|---|
| Funders: | Bill & Melinda Gates Foundation, Bill & Melinda Gates Foundation Grand Challenges Explorations Initiative CGIAR, UK Research & Innovation (UKRI) Medical Research Council UK (MRC) [MC_UU_00022/2] |
| Uncontrolled Keywords: | AMENABLE MORTALITY; MEDICAL-CARE; DEATHS; TRENDS; POPULATION; INDICATOR; NATIONS |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine > Paediatrics Department |
| Depositing User: | Ms Koh Ai Peng |
| Date Deposited: | 25 Oct 2024 08:39 |
| Last Modified: | 25 Oct 2024 08:39 |
| URI: | http://eprints.um.edu.my/id/eprint/46168 |
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