Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study.
<h4>Objective</h4>To assess the correlation between structural determinants - governance, macroeconomic policies, culture/societal values, and public and social policies - and the Universal Health Coverage (UHC) Effective Coverage Index in 2010 and 2019, in 204 countries and territories....
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0004770 |
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| author | Orlando Luiz do Amaral Junior Maria Laura Braccini Fagundes Fernando Neves Hugo Nicholas J Kassebaum Jessye Melgarejo do Amaral Giordani |
| author_facet | Orlando Luiz do Amaral Junior Maria Laura Braccini Fagundes Fernando Neves Hugo Nicholas J Kassebaum Jessye Melgarejo do Amaral Giordani |
| author_sort | Orlando Luiz do Amaral Junior |
| collection | DOAJ |
| description | <h4>Objective</h4>To assess the correlation between structural determinants - governance, macroeconomic policies, culture/societal values, and public and social policies - and the Universal Health Coverage (UHC) Effective Coverage Index in 2010 and 2019, in 204 countries and territories.<h4>Methods</h4>This ecological study analyzed UHC effective coverage in 204 countries and territories using estimates from the Global Burden of Disease (GBD) 2019 study. Structural determinants were examined across five dimensions. Spearman's correlation was used to examine the correlations.<h4>Results</h4>UHC showed a positive correlation with structural determinants in both years. In 2010, moderate correlations were observed for governance (ρ = 0.61), GDP (ρ = 0.69), SDI (ρ = 0.62), and government expenditure (ρ = 0.58). In 2019, governance (ρ = 0.56), GDP (ρ = 0.71), SDI (ρ = 0.66), and government expenditure (ρ = 0.48) remained significantly correlated with UHC. GDP and SDI consistently showed the strongest correlations in both periods.<h4>Conclusion</h4>Countries with more favorable structural conditions had greater UHC, emphasizing the influence of governance and socioeconomic context on health systems performance. Persistent disparities highlight the need for policies targeting social and economic inequalities to achieve universal health coverage globally. |
| format | Article |
| id | doaj-art-2ad901fb409843748cc8a02c8019a8bb |
| institution | Kabale University |
| issn | 2767-3375 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj-art-2ad901fb409843748cc8a02c8019a8bb2025-08-20T03:50:49ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0157e000477010.1371/journal.pgph.0004770Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study.Orlando Luiz do Amaral JuniorMaria Laura Braccini FagundesFernando Neves HugoNicholas J KassebaumJessye Melgarejo do Amaral Giordani<h4>Objective</h4>To assess the correlation between structural determinants - governance, macroeconomic policies, culture/societal values, and public and social policies - and the Universal Health Coverage (UHC) Effective Coverage Index in 2010 and 2019, in 204 countries and territories.<h4>Methods</h4>This ecological study analyzed UHC effective coverage in 204 countries and territories using estimates from the Global Burden of Disease (GBD) 2019 study. Structural determinants were examined across five dimensions. Spearman's correlation was used to examine the correlations.<h4>Results</h4>UHC showed a positive correlation with structural determinants in both years. In 2010, moderate correlations were observed for governance (ρ = 0.61), GDP (ρ = 0.69), SDI (ρ = 0.62), and government expenditure (ρ = 0.58). In 2019, governance (ρ = 0.56), GDP (ρ = 0.71), SDI (ρ = 0.66), and government expenditure (ρ = 0.48) remained significantly correlated with UHC. GDP and SDI consistently showed the strongest correlations in both periods.<h4>Conclusion</h4>Countries with more favorable structural conditions had greater UHC, emphasizing the influence of governance and socioeconomic context on health systems performance. Persistent disparities highlight the need for policies targeting social and economic inequalities to achieve universal health coverage globally.https://doi.org/10.1371/journal.pgph.0004770 |
| spellingShingle | Orlando Luiz do Amaral Junior Maria Laura Braccini Fagundes Fernando Neves Hugo Nicholas J Kassebaum Jessye Melgarejo do Amaral Giordani Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. PLOS Global Public Health |
| title | Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. |
| title_full | Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. |
| title_fullStr | Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. |
| title_full_unstemmed | Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. |
| title_short | Correlation between structural determinants and universal health coverage in 2010 and 2019: An analysis of the global burden of disease study. |
| title_sort | correlation between structural determinants and universal health coverage in 2010 and 2019 an analysis of the global burden of disease study |
| url | https://doi.org/10.1371/journal.pgph.0004770 |
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