ArticleCommunications medicine2026
Towards a nomenclature of health services for implementing universal health coverage in low- and middle-income countries.
Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
backgroundAchieving Universal Health Coverage (UHC) in low- and middle-income countries (LMICs) requires a robust digital infrastructure capable of monitoring healthcare services and associated costs. A major barrier is the absence of a standardized and comprehensive nomenclature for billable healthcare services. Assessment across five hospitals in Burundi confirmed this problem by showing significant inconsistencies in service naming and coding. This study presents the development of a Universal Nomenclature of Health Services (UNHS) for Burundi, a meta-classification for billable health services, designed to align international classification systems with local operational needs.
methodsThe methodology comprised a need assessment, literature review, the selection of relevant international standards, national adaptation, integration of operational sub-codes, and validation through stakeholder engagement.
resultsThe developed meta-classification based on six international standards (ICD-10-PCS, CPT, HCPCS, LOINC, RxNorm, and UB04) produces 82,433 codes covering 97.7% of health services relevant to UHC tracking.
conclusionsThis paper details the methodology, structure, coverage, and implementation of the UNHS, offering a scalable model for improving health information system interoperability and UHC monitoring in LMICs.
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