ArticleHealth affairs (Project Hope)2020
Universal Health Coverage: Are Older Adults Being Left Behind? Evidence From Aging Cohorts In Twenty-Three Countries.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Economic changes and public health resources associated with satisfaction toward the state health service system among older adults under the Universal Coverage Scheme across 77 provinces in Thailand, 2017-2024.International journal for equity in health · 2026Article
- How Older Adults Use Digital Technologies for Healthcare? A Systematic Scoping Review.Journal of medical systems · 2026Article
- "We Do Not Seem to Have Geriatric Wards": A Qualitative Analysis of Gaps in Healthcare Access Among Older Patients in Addis Ababa, Ethiopia.Health science reports · 2025Article
- Healthcare access barriers and utilization among the Arab Bedouin population in Israel: a cross-sectional study.International journal for equity in health · 2025Article
- Association between catastrophic health expenditure and mortality in older people in 11 European health systems: a longitudinal analysis between 2006 and 2020.BMJ public health · 2025Article
- Universal health coverage in the context of population ageing: catastrophic health expenditure and unmet need for healthcare.Health economics review · 2024Article
- No healthcare coverage, big problem: lack of insurance for older population associated with worse emergency general surgery outcomes.Trauma surgery & acute care open · 2024Article
- User Perspectives of Geriatric German Patients on Smart Sensor Technology in Healthcare.Sensors (Basel, Switzerland) · 2023Article
- Cohort Profile: The Brazilian Longitudinal Study of Ageing (ELSI-Brazil).International journal of epidemiology · 2023Article
- Global population surpasses eight billion: Are we ready for the next billion?AIMS public health · 2023Article
- Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey.Health research policy and systems · 2022Article
- Comparison of catastrophic out-of-pocket medical expenditure among older adults in the United States and South Korea: what affects the apparent difference?BMC health services research · 2022Article
- Role of publicly funded health insurance in financial protection of the elderly from hospitalisation expenditure in India-findings from the longitudinal aging study.BMC geriatrics · 2022Article
- Within and across country variations in treatment of patients with heart failure and diabetes.Health services research · 2021Article
- Perceptions about the accessibility of healthcare services among ethnic minority women: a qualitative study among Arab Bedouins in Israel.International journal for equity in health · 2021Article
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Abstract
Countries around the world have committed to achieving universal health coverage as part of the Sustainable Development Goals agreed upon by all United Nations members, intended to be achieved by 2030. But important population groups such as older adults are rarely examined as part of Sustainable Development Goals monitoring and evaluation efforts. This study uses recent (2014-16) high-quality, individual-level data from several aging cohorts representing more than 100,000 adults ages fifty and older in twenty-three high- and middle-income countries. After individual characteristics and health needs were controlled for, national rates varied up to tenfold for poor access (no doctor visit) and threefold for potential overutilization (fifteen or more doctor visits and multiple hospitalizations) in the past year. Catastrophic expenditures (25 percent or more of household income spent out of pocket on health care) averaged 9 percent, with the highest rates observed in middle-income countries and among sicker populations in some high-income countries. Strengthening universal health coverage for older adults will require greater tailoring and targeting of benefits to meet this population's health needs while protecting them from catastrophic health expenditures.
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