Universal Health Coverage for Health Equity: From Principle to Practice,A Response to the Recent Commentaries (Correspondence)

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Fisher Matthew; FREEMAN TOBY; MACKEAN TAMARA; FRIEL SHARON; BAUM FRAN

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Journal: INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT Year:2022 | Volume:11 | Issue:8 Page(s): 1601-1603

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Title

Universal Health Coverage for Health Equity: From Principle to Practice,A Response to the Recent Commentaries (Correspondence)

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Abstract

Universal health coverage (UHC) is defined by the World Health Organization (WHO) as when ‘, all individuals and communities receive the health services they need without suffering financial hardship including ‘, health promotion …,prevention, treatment, rehabilitation, and palliative care. ’, 1 Achieving UHC globally is part of the United Nations’,Sustainable Development Goals and central to the 2018 WHO Global Conference on Primary Health Care Astana Declaration. 2 Universal systems of primary healthcare (PHC) within countries are widely recognised as central to the task of achieving UHC. 2 Such systems are crucial to reduce the adverse impacts of both communicable and non-communicable diseases (NCDs) and reduce health inequities within and between countries. However, while the WHO’, s and the United Nations’,objectives for UHC seem clear, putting those objectives into practice, with PHC systems capable –,over time –,of delivering the desired health outcomes, is quite another matter. In 2020 we published an article in this journal3 examining lessons from the relatively mature Australian system of UHC on how to structure and deliver a system of universal PHC to address NCDs, deliver equity of access to services and, ultimately, promote health equity. (Hereafter we will use ‘, equity’,as shorthand for the two latter goals). We identified both strengths and weaknesses of the Australian system in this regard. The journal then sought and published eight commentaries on our article from experts in UHC and PHC from around the globe. 4-11 Together with our original article, these thoughtful commentaries reinforce our contention that, while commitment to a principle of UHC is welcome, and implies concerns for equity, actual benefits for equity will depend on how UHC is defined and implemented in practice. 6 In this reply, we describe common themes arising from the commentaries, which highlight key issues for policy makers implementing UHC, and respond to points raised about limitations of our research. Although our research focus (conceived in 2015) was on system responses to NCDs, several commentators noted relevance of the issues raised for the coronavirus disease 2019 (COVID-19) pandemic. . .

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APA: Copy

Fisher, Matthew, FREEMAN, TOBY, MACKEAN, TAMARA, FRIEL, SHARON, & BAUM, FRAN. (2022). Universal Health Coverage for Health Equity: From Principle to Practice,A Response to the Recent Commentaries (Correspondence). INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 11(8), 1601-1603. SID. https://sid.ir/paper/1072382/en

Vancouver: Copy

Fisher Matthew, FREEMAN TOBY, MACKEAN TAMARA, FRIEL SHARON, BAUM FRAN. Universal Health Coverage for Health Equity: From Principle to Practice,A Response to the Recent Commentaries (Correspondence). INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2022;11(8):1601-1603. Available from: https://sid.ir/paper/1072382/en

IEEE: Copy

Matthew Fisher, TOBY FREEMAN, TAMARA MACKEAN, SHARON FRIEL, and FRAN BAUM, “Universal Health Coverage for Health Equity: From Principle to Practice,A Response to the Recent Commentaries (Correspondence),” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 11, no. 8, pp. 1601–1603, 2022, [Online]. Available: https://sid.ir/paper/1072382/en

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