ReviewThe Lancet. Global health2024
Inequalities in health system coverage and quality: a cross-sectional survey of four Latin American countries.
Review in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
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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.
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Who cites it
33 citing papers in PubMed.
- Global technological trends in sustainable antimicrobial surface formulations: a patent-based review for cleaner healthcare environments.Future science OA · 2026Review
- Steatotic liver disease in Latin America: current views and perspectives.Nature reviews. Gastroenterology & hepatology · 2026Review
- Latin America and the Caribbean: Challenges and Opportunities for HIV Treatment and Prevention.Journal of the International AIDS Society · 2026Article
- Healthcare service user-reported quality of care in Malawi: a national multifacility cross-sectional study.BMJ open · 2026Article
- Comparing the Risk of SARS-CoV-2 Immune Resistance Evolving Across Regions in the Americas with Differing Approaches to Public Health.Pathogens (Basel, Switzerland) · 2026Article
- Epigenetic vulnerability in endocrine disruption: bridging mechanisms, models, and environmental inequities.Clinical epigenetics · 2026Review
- Women's empowerment and child stunting in Peru: a nationally representative analysis.BMC pediatrics · 2026Article
- Access to health services and perceived quality of primary care in rural Ancash, Peru.BMC health services research · 2026Article
- Minithoracotomy Versus Sternotomy for Aortic Valve Replacement: Outcomes from a Latin American Comparative Study.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Living with systemic lupus erythematosus in 2024: Latin American experience based on a patient survey.Clinical rheumatology · 2026Article
- Adolescent mental health and social inequality in the aftermath of COVID-19 in Bogotá, Colombia: a qualitative study using a critical ecological model.BMC public health · 2026Article
- Psychiatric comorbidity of depression and anxiety in medical trainees: prevalence and predictors in Ecuador.BMC psychiatry · 2026Article
- Public-private configuration in health systems and inequalities in Latin America: a scoping review.Cadernos de saude publica · 2026Article
- Temporal costs of access to formal health care among adult users in Peru: a national analysis of inequalities in travel and waiting times, 2016-2024.Frontiers in health services · 2026Article
- Integrating clinical decision support systems, nursing vigilance, and physician prescribing patterns to reduce preventable adverse drug events: a structured evidence-based narrative review on human-AI interface in medication safety.Frontiers in digital health · 2026Review
- Waiting time for scheduled outpatient specialist consultations by access pathway in public hospitals in Ecuador.PloS one · 2026Article
- Reconceptualizing access: advancing pharmaceutical equity for health system resilience in Central and South America.Lancet regional health. Americas · 2026Article
- Beyond DALY: public funding of health innovation in Brazil as a political strategy for equity in the Global South.BMC public health · 2025Article
- Article
- Socioeconomic and geographic disparities in psychiatric outcomes under Colombia's universal healthcare system.Psychological medicine · 2025Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The premise of health as a human right in Latin America has been challenged by health system fragmentation, quality gaps, a growing burden of chronic disease, sociopolitical upheaval, and the COVID-19 pandemic. We characterised inequities in health system quality in Colombia, Mexico, Peru, and Uruguay. We did a cross-sectional telephone survey with up to 1250 adults in each country. We created binary outcomes in coverage, user experience, system competence, and confidence in the system and calculated the slope index of inequality by income and education. Although access to care was high, only a third of respondents reported having a high-quality source of care and 25% of those with mental health needs had those needs met. Two-thirds of adults were able to access relevant preventive care and 42% of older adults were screened for cardiovascular disease. Telehealth access, communication and autonomy in most recent visit, reasonable waiting times, and receiving preventive health checks showed inequalities favouring people with a high income. In Uruguay, inequality between government and social security services explained a substantial proportion of disparities in preventive health access. In other study countries, inequalities were also substantial within government and social security subsectors. Essential health system functions are unequal in these four Latin American countries.
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