ArticleBMC public health2023
Association between universal health coverage and the disease burden of acute illness and injury at the global level.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Service Coverage and Financial Hardship Under Universal Health Coverage: Uneven Associations Across 159 Countries (2000-2023).International journal of environmental research and public health · 2026Article
- Modelling population dynamics, health system, and unmet need toward health burden: scenarios in ASEAN and WHO SEARO countries.Journal of global health · 2026Article
- Asia at the Epicenter of the Global Cardiometabolic Shift.JACC. Asia · 2026Review
- Does population density impact maternal and child health? Mediating effects of the Universal Health Coverage Service Coverage Index.BMC public health · 2025Article
- Universal health coverage-Exploring the what, how, and why using realist review.PLOS global public health · 2025Article
- Difficulty in financing fracture care in south-western Nigeria: a prospective cohort study of predictors and recommendations for improvement.BMC public health · 2024Article
- Landscape and Socioeconomic Factors Determine Malaria Incidence in Tropical Forest Countries.International journal of environmental research and public health · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study examines the relationship between universal health coverage (UHC) and the burden of emergency diseases at a global level.
methodsData on Disability-Adjusted Life Years (DALYs) from emergency conditions were extracted from the Institute for Health Metrics and Evaluation (IHME) database for the years 2015 and 2019. Data on UHC, measured using two variables 1) coverage of essential health services and 2) proportion of the population spending more than 10% of household income on out-of-pocket health care expenditure, were extracted from the World Bank Database for years preceding our outcome of interest. A linear regression was used to analyze the association between UHC variables and DALYs for emergency diseases, controlling for other variables.
resultsA total of 132 countries were included. The median national coverage of essential health services index was 67.5/100, while the median national prevalence of catastrophic spending in the sample was 6.74% of households. There was a strong significant relationship between health service coverage and the burden of emergency diseases, with an 11.5-point reduction in DALYs of emergency medical diseases (95% CI -9.5, -14.8) for every point increase in the coverage of essential health services index. There was no statistically significant relationship between catastrophic expenditures and the burden of emergency diseases, which may be indicative of inelastic demand in seeking services for health emergencies.
conclusionIncreasing the coverage of essential health services, as measured by the essential health services index, is strongly correlated with a reduction in the burden of emergency conditions. In addition, data affirms that financial protection remains inadequate in many parts of the globe, with large numbers of households experiencing significant economic duress related to seeking healthcare. This evidence supports a strategy of strengthening UHC as a means of combating death and disability from health emergencies, as well as extending protection against impoverishment related to healthcare expenses.
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