Evidence map›Paper›PMID 33300769›Full record

ArticleInternational journal of health policy and management2022

Universal Health Coverage for Non-communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare.

Matthew Fisher, Toby Freeman, Tamara Mackean, Sharon Friel, Fran Baum

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  18. Barriers to community healthcare delivery in urban China: a nurse perspective.International journal of qualitative studies on health and well-being · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Matthew FisherSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, Australia.ORCID 0000-0003-3756-1146
Toby FreemanSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-2787-8580
Tamara MackeanCollege of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
Sharon FrielRegNet School of Regulation and Global Governance, Australian National University, Canberra, ACT, Australia.ORCID 0000-0002-8345-5435
Fran BaumSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-2294-1368
Flinders University · AUAustralian National University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUniversal health coverage (UHC) is central to current international debate on health policy. The primary healthcare (PHC) system is crucial to achieving UHC, in order to address the rising incidence of non-communicable diseases (NCDs) more effectively and equitably. In this paper, we examine the Australian case as a mature system of UHC and identify lessons for UHC policy to support equity of access to PHC and reduce NCDs.

methodsOur qualitative research used policy mapping and monitoring and 30 key informant interviews, and applied policy theory, to investigate the implementation of Australian PHC policy between 2008 and 2018.

resultsAlthough the Australian PHC system does support equity of access to primary medical care, other ideational, actor-centred and structural features of policy detract from the capacities of the system to prevent and manage NCDs effectively, deliver equity of access according to need, and support equity in health outcomes. These features include a dominant focus on episodic primary medical care, which is a poor model of care for NCDs, and an inequitable distribution of these services. Also, a mixed system of public and private insurance coverage in PHC contributes to inequities in access and health outcomes, driving additional NCD demand into the health system.

conclusionCountries aiming to achieve UHC to support health equity and reduce NCDs can learn from strengths and weaknesses in the Australian system. We recommend a range of ideational, actor-centred and structural features of UHC systems in PHC that will support effective action on NCDs, equity of access to care according to need, and equity in health outcomes across geographically and ethnically diverse populations.

Indexed as

Health EquityNoncommunicable DiseasesAustraliaHumansPrimary Health CareUniversal Health InsuranceAustraliaHealth EquityNon-communicable DiseasePrimary HealthcareUniversal Health Coverage

Identifiers

PMID33300769
PMCPMC9309940
OpenAlexW3111783418

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.