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2015, Number 2

salud publica mex 2015; 57 (2)

Effective access to health services: operationalizing universal health coverage.

Fajardo-Dolci G, Gutiérrez JP, García-Saisó S
Full text How to cite this article

Language: Spanish
References: 26
Page: 180-186
PDF size: 344.77 Kb.


Key words:

health services accessibility, universal coverage, world health, Mexico.

ABSTRACT

The right to health and its operational form, as an organized social response to health: the right to health protection, are the mainstay for the global push towards universal health coverage. The path to achieve this goal is particular to each country and relates to the baseline and specific context in relation to what is feasible. In practical terms, universal coverage involves the correlation between demand and supply of services (promotion, prevention, and care), expressed by the ability for each individual to make use of services when these are required. In those terms universal coverage is then effective access. The objective of the paper is to explore the conceptualization of effective access to health services and propose a definition that allows its operationalization thereof. This definition considers key elements of supply and demand of services, including the availability of resources and adequate provision (quality), as well as barriers to use them.


REFERENCES

  1. Asamblea General de las Naciones Unidas. Pacto Internacional de Derechos Económicos, Sociales y Culturales. Nueva York: ONU, 1966.

  2. OMS. Asamblea Mundial de la Salud. Resolución WHA62.14. Ginebra: OMS, 2009.

  3. Millman M, ed. Access to Health Care in America. Washington, DC: The National Academies Press, 1993.

  4. Diccionario de la Lengua Española. Madrid: RAE, 2001.

  5. Penchansky R, Thomas J. The concept of access: definition and relationship to consumer satisfaction. Med Care 1981;19(2):127-140.

  6. Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res 1974;9(3):208-220.

  7. Andersen R. Revisiting the behavioral model and access to medical care: Does it matter? J Health Soc Behav 1995;36(1):1-10.

  8. Sanchez RM, Ciconelli RM. Conceitos de acesso à saúde. Rev Panam Salud Publica 2012;31:260-8.

  9. Ruelas-Barajas E. La calidad del sistema de salud en un modelo universal. Hacia un sistema de salud con calidad, rectoría, financiamiento y provisión de servicios universales de salud. Memorias, Simposio Internacional Conamed, Seminario sobre Medicina y Salud UNAM; Hacia un sistema de salud con calidad, rectoria, financiamiento y provision de servicios universales de salud. México: UNAM-OPS, 2011.

  10. Oliver A, Mossialos E. Equity of access to health care: outlining the foundations for action. J Epidemiol Community Health 2004;58(8):655-8. doi: 10.1136/jech.2003.017731.

  11. WHO. Closing the gap: Policy into practice on social determinants of health. World conference on social Determinants of Health. Rio de Janeiro: WHO, 2011: 47.

  12. Gutiérrez JP. Brechas en cobertura efectiva por nivel socioeconómico y condición de pobreza. Salud Publica Mex 2013;55:S106-S111.

  13. Goddard M, Smith P. Equity of access to health care services: Theory and evidence from the UK. Soc Sci Med 2001;53(9):1149-1162. doi: http:// dx.doi.org/10.1016/S0277-9536(00)00415-9.

  14. Weissman JS, Stern R, Fielding SL, Epstein AM. Delayed access to health care: Risk factors, reasons, and consequences. Ann Intern Med 1991;114(4):325-331. doi: 10.7326/0003-4819-114-4-325.

  15. Congreso de los Estados Unidos de América. The Affordable Care Act. Washington, DC: Congreso de los Estados Unidos de América, 2010.

  16. Schoen C, Doty MM, Robertson RH, Collins SR. Affordable Care Act Reforms could reduce the number of underinsured US adults by 70 percent. Health Aff 2011;30(9):1762-1771. doi: 10.1377/hlthaff.2011.0335.

  17. Commonwealth Fund Commission on a High Performance Health System. Why not the best? Results from the National ScoreCard on U.S. Health System Performance, 2008. New York: The Commonwealth Fund, 2008.

  18. Mhatre SL, Deber RB. From equal access to health care to equitable access to health: A review of Canadian Provincial Health Commissions and Reports. Int J Health Serv 1992;22(4):645-668.

  19. Gulliford M, Figueroa-Muñoz J, Morgan M, Hughes D, Gibson B, Beech R, et al. What does “access to health care” mean? J Health Serv Res Policy 2002;7(3):186-188.

  20. Gutiérrez JP, Hernández-Ávila M. Cobertura de protección en salud en México, 2000-2012. Salud Publica Mex 2013;55(supl 2):S83-S90.

  21. Frenk J. La salud como derecho ciudadano. Nexos 2012;2.

  22. Frenk J, González-Pier E, Gómez-Dantés O, Lezana MÁ, Knaul FM. Reforma integral para mejorar el desempeño del sistema de salud en México. Salud Publica Mex 2007;49:s23-s36.

  23. Frenk J, Ruelas-Barajas E. Medir para mejorar el desempeño del Sistema Mexicano de Salud. Salud Publica Mex 2005;47(S1):1-3.

  24. Congreso de la Unión. Ley General de Salud de México. México: DOF, 2011.

  25. Diario Oficial de la Federación. Reglas de operación del Programa Caravanas de la Salud. Ejercicio Fiscal 2012, (2011). México: DOF, 27 de diciembre de 2011.

  26. Levesque JF, Harris M, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health 2013;12(1):18. PubMed PMID: doi:10.1186/1475-9276-12-18.




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salud publica mex. 2015;57