Journal of Preventive Medicine and Public Health

  • 제55권2호
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  • Pages.125-133
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  • 2022
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Challenges to Achieving Universal Health Coverage Throughout the World: A Systematic Review

  • Darrudi, Alireza (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences) ;
  • Khoonsari, Mohammad Hossein Ketabchi (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences) ;
  • Tajvar, Maryam (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences)
  • 투고 : 2021.10.08
  • 심사 : 2022.02.03
  • 발행 : 2022.03.31
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초록

Objectives: No systematic review has explored the challenges related to worldwide universal health coverage (UHC). This study reviewed challenges on the road to UHC. Methods: A systematic electronic search of all studies that identified the challenges of worldwide UHC was conducted, without any restrictions related to the publication date or language. A hand search and a bibliographic search were also conducted to identify which texts to include in this study. These sources and citations yielded a total of 2500 articles, only 26 of which met the inclusion criteria. Relevant data from these papers were extracted, summarized, grouped, and reported in tables. Results: Of the 26 included studies, 7 (27%) were reviews, 6 (23%) were reports, and 13 (50%) had another type of study design. The publication dates of the included studies ranged from 2011 to 2020. Nine studies (35%) were published in 2019. Using the World Health Organization conceptual model, data on all of the challenges related to UHC in terms of the 4 functions of health systems (stewardship, creating resource, financing, and delivering services) were extracted from the included studies and reported. Conclusions: This study provides a straightforward summary of previous studies that explored the challenges related to UHC and conducted an in-depth analysis of viable solutions.

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참고문헌

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