Effective coverage: a metric for monitoring Universal Health Coverage.
Effective coverage: a metric for monitoring Universal Health Coverage.
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DOI：
10.1371/journal.pmed.1001730
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发表时间：
2014-09
期刊：
影响因子：
15.8
通讯作者：
Lim SS
中科院分区：
文献类型：
--
作者：
Ng M;Fullman N;Dieleman JL;Flaxman AD;Murray CJ;Lim SS
作为《公共科学图书馆关于全民健康覆盖的汇编》的一部分，Stephen Lim和他的同事回顾了有效覆盖的概念，并讨论了当前卫生信息系统可以支持生成有效覆盖估计的方式。监测全民健康覆盖的一个主要挑战是确定一个指标，该指标可以充分反映全民健康覆盖倡议的多个组成部分。有效覆盖率将个人和干预措施的特点统一为一个单一的衡量标准，为衡量各级卫生系统的业绩提供了一个直接和灵活的手段。我们将有效覆盖视为跟踪实现全民健康覆盖进展的相关和可操作的指标。在本文中，我们回顾了有效覆盖的概念，并使用几个例子描述了度量的三个组成部分-需求，使用和质量。此外，我们解释了如何度量可用于监测干预措施在地方和全球层面。我们还讨论了目前的卫生信息系统可以支持生成有效覆盖率估计的方法。最后，我们认识到一些挑战与生产的有效覆盖率的估计。尽管存在这些挑战，但有效覆盖率是一个强有力的衡量标准，可以更细致地了解卫生系统是否向其人口提供服务以及提供服务的程度。
As part of the PLOS Collection on Universal Health Coverage, Stephen Lim and colleagues review the concept of effective coverage and discuss the ways in which current health information systems can support generating estimates of effective coverage. A major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexible means to measure health system performance at different levels. We view effective coverage as a relevant and actionable metric for tracking progress towards achieving UHC. In this paper, we review the concept of effective coverage and delineate the three components of the metric — need, use, and quality — using several examples. Further, we explain how the metric can be used for monitoring interventions at both local and global levels. We also discuss the ways that current health information systems can support generating estimates of effective coverage. We conclude by recognizing some of the challenges associated with producing estimates of effective coverage. Despite these challenges, effective coverage is a powerful metric that can provide a more nuanced understanding of whether, and how well, a health system is delivering services to its populations.
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影响因子：
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作者：
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通讯作者：
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