Assessing performance of the Healthcare Access and Quality Index, overall and by select age groups, for 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019

Lozano, Rafael Haakenstad, Annie Yearwood, Jamal Akeem Show more Fullman, Nancy Bintz, Corinne Bienhoff, Kelly Weaver, Marcia R. Nandakumar, Vishnu Joffe, Jonah N. LeGrand, Kate E. Knight, Megan Abbafati, Cristiana Abbasi-Kangevari, Mohsen Abdoli, Amir Abeldano Zuniga, Roberto Ariel Adedeji, Isaac Akinkunmi Adekanmbi, Victor Adetokunboh, Olatunji O. Afzal, Muhammad Sohail Afzal, Saira Agudelo-Botero, Marcela Ahinkorah, Bright Opoku Ahmad, Sajjad Ahmadi, Ali Ahmadi, Sepideh Ahmed, Ali Rashid, Tarik Ahmed Aji, Budi Akande-Sholabi, Wuraola Alam, Khurshid Al Hamad, Hanadi Alhassan, Robert Kaba Ali, Liaqat Alipour, Vahid Aljunid, Syed Mohamed Ameyaw, Edward Kwabena Amin, Tarek Tawfik Amu, Hubert Amugsi, Dickson A. Ancuceanu, Robert Andrade, Pedro Prata Anjum, Afifa Arabloo, Jalal Arab-Zozani, Morteza Ariffin, Hany Arulappan, Judie Aryan, Zahra Ashraf, Tahira Atnafu, Desta Debalkie Atreya, Alok Ausloos, Marcel Avila-Burgos, Leticia Ayano, Getinet Ayanore, Martin Amogre Azari, Samad Badiye, Ashish D. Baig, Atif Amin Bairwa, Mohan Bakkannavar, Shankar M. Baliga, Shrikala Banik, Palash Chandra Baernighausen, Till Winfried Barra, Fabio Barrow, Amadou Basu, Sanjay Bayati, Mohsen Belete, Rebuma Bell, Arielle Wilder Bhagat, Devidas S. Bhagavathula, Akshaya Srikanth Bhardwaj, Pankaj Bhardwaj, Nikha Bhaskar, Sonu Bhattacharyya, Krittika Bhutta, Zulfiqar A. Bibi, Sadia Bijani, Ali Bikbov, Boris Biondi, Antonio Bolarinwa, Obasanjo Afolabi Bonny, Aime Brenner, Hermann Buonsenso, Danilo Burkart, Katrin Busse, Reinhard Butt, Zahid A. Butt, Nadeem Shafique Caetano dos Santos, Florentino Luciano Cahuana-Hurtado, Lucero Alberto Camera, Luis Cardenas, Rosario Carneiro, Vera L. A. Catala-Lopez, Ferran Chandan, Joht Singh Charan, Jaykaran Chavan, Prachi P. Chen, Simiao Chen, Shu Choudhari, Sonali Gajanan Chowdhury, Enayet Karim Chowdhury, Mohiuddin Ahsanul Kabir Cirillo, Massimo Corso, Barbara Dadras, Omid Dahlawi, Saad M. A. Dai, Xiaochen Dandona, Lalit Dandona, Rakhi Dangel, William James Alberto Davila-Cervantes, Claudio Davletov, Kairat Deuba, Keshab Dhimal, Meghnath Dhimal, Mandira Lamichhane Djalalinia, Shirin Huyen Phuc Do Doshmangir, Leila Duncan, Bruce B. Effiong, Andem Ehsani-Chimeh, Elham Elgendy, Islam Y. Elhadi, Muhammed El Sayed, Iman El Tantawi, Maha Erku, Daniel Asfaw Eskandarieh, Sharareh Fares, Jawad Farzadfar, Farshad Ferrero, Simone Desideri, Lorenzo Ferro Fischer, Florian Foigt, Nataliya A. Foroutan, Masoud Fukumoto, Takeshi Gaal, Peter Andras Gaihre, Santosh Gardner, William M. Garg, Tushar Obsa, Abera Getachew Ghafourifard, Mansour Ghashghaee, Ahmad Ghith, Nermin Gilani, Syed Amir Gill, Paramjit Singh Goharinezhad, Salime Golechha, Mahaveer Guadamuz, Jenny S. Guo, Yuming Das Gupta, Rajat Gupta, Rajeev Gupta, Vivek Kumar Gupta, Veer Bala Hamiduzzaman, Mohammad Hanif, Asif Maria Haro, Josep Hasaballah, Ahmed I. Hasan, Md Mehedi Hasan, M. Tasdik Hashi, Abdiwahab Hay, Simon I. Hayat, Khezar Heidari, Mohammad Heidari, Golnaz Henry, Nathaniel J. Herteliu, Claudiu Holla, Ramesh Hossain, Sahadat Hossain, Sheikh Jamal Hossain, Mohammad Bellal Hossain Hosseinzadeh, Mehdi Hostiuc, Sorin Hoveidamanesh, Soodabeh Hsieh, Vivian Chia-rong Hu, Guoqing Huang, Junjie Huda, M. Mamun Ifeagwu, Susan C. Ikuta, Kevin S. Ilesanmi, Olayinka Stephen Irvani, Seyed Sina Naghibi Islam, Rakibul M. Islam, Sheikh Mohammed Shariful Ismail, Nahlah Elkudssiah Iso, Hiroyasu Isola, Gaetano Itumalla, Ramaiah Iwagami, Masao Jahani, Mohammad Ali Jahanmehr, Nader Jain, Rajesh Jakovljevic, Mihajlo Janodia, Manthan Dilipkumar Jayapal, Sathish Kumar Jayaram, Shubha Jha, Ravi Prakash Jonas, Jost B. Joo, Tamas Joseph, Nitin Jurisson, Mikk Kabir, Ali Kalankesh, Leila R. Kalhor, Rohollah Kamath, Aruna M. Kamenov, Kaloyan Kandel, Himal Kantar, Rami S. Kapoor, Neeti Karanikolos, Marina Katikireddi, Srinivasa Vittal Kavetskyy, Taras Kawakami, Norito Kayode, Gbenga A. Keikavoosi-Arani, Leila Keykhaei, Mohammad Khader, Yousef Saleh Khajuria, Himanshu Khalilov, Rovshan Khammarnia, Mohammad Khan, Md Nuruzzaman Khan, Moien A. B. Khan, Maseer Khezeli, Mehdi Kim, Min Seo Kim, Yun Jin Kisa, Sezer Kisa, Adnan Klymchuk, Vitalii Koly, Kamrun Nahar Korzh, Oleksii Kosen, Soewarta Koul, Parvaiz A. Defo, Barthelemy Kuate Kumar, G. Anil Kusuma, Dian Kyu, Hmwe Hmwe Larsson, Anders O. Lasrado, Savita Lee, Wei-Chen Lee, Yo Han Lee, Chiachi Bonnie Li, Shanshan Lucchetti, Giancarlo Mahajan, Preetam Bhalchandra Majeed, Azeem Makki, Alaa Malekzadeh, Reza Malik, Ahmad Azam Malta, Deborah Carvalho Mansournia, Mohammad Ali Mantovani, Lorenzo Giovanni Martinez-Valle, Adolfo Martins-Melo, Francisco Rogerlandio Masoumi, Seyedeh Zahra Mathur, Manu Raj Maude, Richard James Maulik, Pallab K. McKee, Martin Mendoza, Walter Menezes, Ritesh G. Mensah, George A. Meretoja, Atte Meretoja, Tuomo J. Mestrovic, Tomislav Michalek, Irmina Maria Mirrakhimov, Erkin M. Misganaw, Awoke Misra, Sanjeev Moazen, Babak Mohammadi, Mokhtar Mohammed, Shafiu Moitra, Modhurima Mokdad, Ali H. Molokhia, Mariam Monasta, Lorenzo Moni, Mohammad Ali Moradi, Ghobad Moreira, Rafael Silveira Mosser, Jonathan F. Mostafavi, Ebrahim Mouodi, Simin Nagarajan, Ahamarshan Jayaraman Nagata, Chie Naghavi, Mohsen Nangia, Vinay Swamy, Sreenivas Narasimha Narayana, Aparna Ichalangod Nascimento, Bruno Ramos Nassereldine, Hasan Nayak, Biswa Prakash Nazari, Javad Negoi, Ionut Nepal, Samata Kandel, Sandhya Neupane Ngunjiri, Josephine W. Huong Lan Thi Nguyen Cuong Tat Nguyen Ningrum, Dina Nur Anggraini Noubiap, Jean Jacques Oancea, Bogdan Oghenetega, Onome Bright Oh, In-Hwan Olagunju, Andrew T. Olakunde, Babayemi Oluwaseun Bali, Ahmed Omar Omer, Emad Onwujekwe, Obinna E. Otoiu, Adrian Padubidri, Jagadish Rao Palladino, Raffaele Pana, Adrian Panda-Jonas, Songhomitra Pandi-Perumal, Seithikurippu R. Pardhan, Shahina Pasupula, Deepak Kumar Pathak, Praveen Kumar Patton, George C. Pawar, Shrikant Pereira, Jeevan Pilania, Manju Piroozi, Bakhtiar Podder, Vivek Pokhrel, Khem Narayan Postma, Maarten J. Prada, Sergio I. Syed, Zahiruddin Quazi Rabiee, Navid Radhakrishnan, Raghu Anekal Rahman, Md. Mosfequr Rahman, Mosiur Rahman, Mahfuzar Rahman, Mohammad Hifz Ur Rahmani, Amir Masoud Ranabhat, Chhabi Lal Rao, Chythra R. Rao, Sowmya J. Rasella, Davide Rawaf, Salman Rawaf, David Laith Rawal, Lal Renzaho, Andre M. N. Reshmi, Bhageerathy Resnikoff, Serge Rezapour, Aziz Riahi, Seyed Mohammad Ripon, Rezaul Karim Sacco, Simona Sadeghi, Masoumeh Saeed, Umar Sahebkar, Amirhossein Sahiledengle, Biniyam Sahoo, Harihar Sahu, Maitreyi Salama, Joseph S. Salamati, Payman Samy, Abdallah M. Sanabria, Juan Santric-Milicevic, Milena M. Sathian, Brijesh Sawhney, Monika Schmidt, Maria Ines Seidu, Abdul-Aziz Sepanlou, Sadaf G. Seylani, Allen Shaikh, Masood Ali Sheikh, Aziz Shetty, Adithi Shigematsu, Mika Shiri, Rahman Shivakumar, K. M. Shokri, Azad Singh, Jasvinder A. Sinha, Dhirendra Narain Skryabin, Valentin Yurievich Skryabina, Anna Aleksandrovna Sofi-Mahmudi, Ahmad Sousa, Raul A. R. C. Stephens, Jacqueline H. Sun, Jing Szocska, Miklos Tabares-Seisdedos, Rafael Tadbiri, Hooman Tamiru, Animut Tagele Thankappan, Kavumpurathu Raman Topor-Madry, Roman Tovani-Palone, Marcos Roberto Mai Thi Ngoc Tran Bach Xuan Tran Tripathi, Niharika Tripathy, Jaya Prasad Troeger, Christopher E. Robles Uezono, Deinzel Ullah, Saif Ullah, Anayat Unnikrishnan, Bhaskaran Vacante, Marco Tahbaz, Sahel Valadan Valdez, Pascual R. Vasic, Milena Veroux, Massimiliano Vervoort, Dominique Violante, Francesco S. Vladimirov, Sergey Konstantinovitch Vlassov, Vasily Bay Vo Waheed, Yasir Wamai, Richard G. Wang, Yuan-Pang Wang, Yanzhong Ward, Paul Wiangkham, Taweewat Yadav, Lalit Jabbari, Seyed Hossein Yahyazadeh Yamagishi, Kazumasa Yaya, Sanni Yazdi-Feyzabadi, Vahid Yi, Siyan Yigit, Vahit Yonemoto, Naohiro Younis, Mustafa Z. Yu, Chuanhua Yunusa, Ismaeel Bin Zaman, Sojib Zastrozhin, Mikhail Sergeevich Zhang, Zhi-Jiang Zhong, Chenwen Zuniga, Yves Miel H. Lim, Stephen S. Murray, Christopher J. L. Lozano, Rafael Close more
Lozano, R (通讯作者),Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA.
2022-12
Background Health-care needs change throughout the life course. It is thus crucial to assess whether health systems provide access to quality health care for all ages. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019), we measured the Healthcare Access and Quality (HAQ) Index overall and for select age groups in 204 locations from 1990 to 2019. Methods We distinguished the overall HAQ Index (ages 0-74 years) from scores for select age groups: the young (ages 0-14 years), working (ages 15-64 years), and post-working (ages 65-74 years) groups. For GBD 2019, HAQ Index construction methods were updated to use the arithmetic mean of scaled mortality-to-incidence ratios (MIRs) and risk-standardised death rates (RSDRs) for 32 causes of death that should not occur in the presence of timely, quality health care. Across locations and years, MIRs and RSDRs were scaled from 0 (worst) to 100 (best) separately, putting the HAQ Index on a different relative scale for each age group. We estimated absolute convergence for each group on the basis of whether the HAQ Index grew faster in absolute terms between 1990 and 2019 in countries with lower 1990 HAQ Index scores than countries with higher 1990 HAQ Index scores and by Socio-demographic Index (SDI) quintile. SDI is a summary metric of overall development. Findings Between 1990 and 2019, the HAQ Index increased overall (by 19.6 points, 95% uncertainty interval 17.9-21.3), as well as among the young (22.5, 19.9-24.7), working (17.2, 15.2-19.1), and post-working (15.1, 13.2-17.0) age groups. Large differences in HAQ Index scores were present across SDI levels in 2019, with the overall index ranging from 30.7 (28.6-33.0) on average in low-SDI countries to 83.4 (82.4-84.3) on average in highSDI countries. Similarly large ranges between low-SDI and high-SDI countries, respectively, were estimated in the HAQ Index for the young (40.4-89.0), working (33.8-82.8), and post-working (30.4-79.1) groups. Absolute convergence in HAQ Index was estimated in the young group only. In contrast, divergence was estimated among the working and post-working groups, driven by slow progress in low-SDI countries. Interpretation Although major gaps remain across levels of social and economic development, convergence in the young group is an encouraging sign of reduced disparities in health-care access and quality. However, divergence in the working and post-working groups indicates that health-care access and quality is lagging at lower levels of social and economic development. To meet the needs of ageing populations, health systems need to improve health-care access and quality for working-age adults and older populations while continuing to realise gains among the young. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
LANCET GLOBAL HEALTH
卷号:10|期号:12
ISSN:2214-109X|收录类别:SCIE
语种
英语
来源机构
Institute for Health Metrics & Evaluation; University of Washington; University of Washington Seattle; University of Washington; University of Washington Seattle; University of Washington; University of Washington Seattle; University of Washington; University of Washington Seattle; Harvard University; Harvard University; Brigham & Women's Hospital; Harvard University; Harvard T.H. 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资助机构
Bill & Melinda Gates Foundation(Bill & Melinda Gates FoundationCGIAR)
资助信息
Bill & Melinda Gates Foundation.
被引频次(WOS)
2
被引频次(其他)
2
180天使用计数
29
2013以来使用计数
29
出版年
2022-12
DOI
10.1016/S2214-109X(22)00429-6
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生