An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS)
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2014 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/9277 |
Resumo: | The Rockefeller Foundation. New York, NY, USA / London School of Hygiene & Tropical Medicine. London, UK . |
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Marten, RobertMcintyre, DianeTravassos, ClaudiaShishkin, SergeyLongde, WangReddy, SrinathVega, Jeanette2014-12-22T17:06:40Z2014-12-22T17:06:40Z2014MARTEN, R. et al. An assessment of progress towards universal health coverage in brazil, russia, india, china, and south africa (brics). Lancet (British edition), v.X, p. online first,2014.01406736https://www.arca.fiocruz.br/handle/icict/9277DOI:10.1016/S0140-6736(14)60075-1engCobertura UniversalBrasilRússiaÍndiaChinaÁfrica do SulBRICSUniversal health coverageBrazilRussiaIndiaChinaSouth AfricaBRICSCobertura Universal (Seguro Saúde)An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleThe Rockefeller Foundation. New York, NY, USA / London School of Hygiene & Tropical Medicine. London, UK .Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Health Economics Unit. University of Cape Town. Cape Town, South Africa.National Research University. Higher School of Economics. Moscou, Rússia.Peking University. School of Public Health. Beijing, China.Public Health Foundation of India. New Delhi, India.The Rockefeller Foundation. New York, NY, USA.Brazil, Russia, India, China, and South Africa (BRICS) represent almost half the world’s population, and all fi ve national governments recently committed to work nationally, regionally, and globally to ensure that universal health coverage (UHC) is achieved. This analysis reviews national eff orts to achieve UHC. With a broad range of health indicators, life expectancy (ranging from 53 years to 73 years), and mortality rate in children younger than 5 years (ranging from 10·3 to 44·6 deaths per 1000 livebirths), a review of progress in each of the BRICS countries shows that each has some way to go before achieving UHC. The BRICS countries show substantial, and often similar, challenges in moving towards UHC. On the basis of a review of each country, the most pressing problems are: raising insuffi cient public spending; stewarding mixed private and public health systems; ensuring equity; meeting the demands for more human resources; managing changing demographics and disease burdens; and addressing the social determinants of health. Increases in public funding can be used to show how BRICS health ministries could accelerate progress to achieve UHC. Although all the BRICS countries have devoted increased resources to health, the biggest increase has been in China, which was probably facilitated by China’s rapid economic growth. However, the BRICS country with the second highest economic growth, India, has had the least improvement in public funding for health. Future research to understand such diff erent levels of prioritisation of the health sector in these countries could be useful. Similarly, the role of strategic purchasing in working with powerful private sectors, the eff ect of federal structures, and the implications of investment in primary health care as a foundation for UHC could be explored. These issues could serve as the basis on which BRICS countries focus their eff orts to share ideas and strategies.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALMARTEN_ETAL_ICICT_2014.pdfapplication/pdf100999https://www.arca.fiocruz.br/bitstream/icict/9277/1/MARTEN_ETAL_ICICT_2014.pdfcff53e7625b6769dffc8a4b9eede5200MD51LICENSElicense.txttext/plain1914https://www.arca.fiocruz.br/bitstream/icict/9277/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTMARTEN_ETAL_ICICT_2014.pdf.txtMARTEN_ETAL_ICICT_2014.pdf.txtExtracted texttext/plain45995https://www.arca.fiocruz.br/bitstream/icict/9277/3/MARTEN_ETAL_ICICT_2014.pdf.txt20dbe1278151fd73261e087a927be48cMD53icict/92772018-04-05 23:45:45.057oai:www.arca.fiocruz.br:icict/9277TElDRU7Dh0EgREUgRElTVFJJQlVJw4fDg08gTsODTy1FWENMVVNJVkEKCkFvIGNvbmNvcmRhciBlIGFjZWl0YXIgZXN0YSBsaWNlbsOnYSB2b2PDqiAoYXV0b3Igb3UgZGV0ZW50b3IgZG9zIGRpcmVpdG9zIGF1dG9yYWlzKToKCmEpIERlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zDrXRpY2EgZGUgY29weXJpZ2h0IGRhIGVkaXRvcmEgZG8gc2V1IGRvY3VtZW50by4KCmIpIERlY2xhcmEgcXVlIGNvbmhlY2UgZSBhY2VpdGEgYXMgRGlyZXRyaXplcyBwYXJhIG8gUmVwb3NpdMOzcmlvIEluc3RpdHVjaW9uYWwgZGEgRnVuZGHDp8OjbyBPc3dhbGRvIENydXogKEZJT0NSVVopLgoKYykgQ29uY2VkZSDDoCBGSU9DUlVaIG8gZGlyZWl0byBuw6NvLWV4Y2x1c2l2byBkZSBhcnF1aXZhciwgcmVwcm9kdXppciwgY29udmVydGVyIChjb21vIGRlZmluaWRvIGEgc2VndWlyKSwgY29tdW5pY2FyCiAKZS9vdSBkaXN0cmlidWlyIG5vIFJlcG9zaXTDs3JpbyBkYSBGSU9DUlVaLCBvIGRvY3VtZW50byBlbnRyZWd1ZSAoaW5jbHVpbmRvIG8gcmVzdW1vL2Fic3RyYWN0KSBlbSBmb3JtYXRvIGRpZ2l0YWwgb3UgCgpwb3IgcXVhbHF1ZXIgb3V0cm8gbWVpby4KCmQpIERlY2xhcmEgcXVlIGF1dG9yaXphIGEgRklPQ1JVWiBhIGFycXVpdmFyIG1haXMgZGUgdW1hIGPDs3BpYSBkZXN0ZSBkb2N1bWVudG8gZSBjb252ZXJ0w6otbG8sIHNlbSBhbHRlcmFyIG8gc2V1IGNvbnRlw7pkbywgCgpwYXJhIHF1YWxxdWVyIGZvcm1hdG8gZGUgYXJxdWl2bywgbWVpbyBvdSBzdXBvcnRlLCBwYXJhIGVmZWl0b3MgZGUgc2VndXJhbsOnYSwgcHJlc2VydmHDp8OjbyAoYmFja3VwKSBlIGFjZXNzby4KCmUpIERlY2xhcmEgcXVlIG8gZG9jdW1lbnRvIHN1Ym1ldGlkbyDDqSBvIHNldSB0cmFiYWxobyBvcmlnaW5hbCwgZSBxdWUgZGV0w6ltIG8gZGlyZWl0byBkZSBjb25jZWRlciBhIHRlcmNlaXJvcyBvcyBkaXJlaXRvcyAKCmNvbnRpZG9zIG5lc3RhIGxpY2Vuw6dhLiBEZWNsYXJhIHRhbWLDqW0gcXVlIGEgZW50cmVnYSBkbyBkb2N1bWVudG8gbsOjbyBpbmZyaW5nZSBvcyBkaXJlaXRvcyBkZSBxdWFscXVlciBvdXRyYSBwZXNzb2Egb3UgZW50aWRhZGUuCgpmKSBEZWNsYXJhIHF1ZSwgbm8gY2FzbyBkbyBkb2N1bWVudG8gc3VibWV0aWRvIGNvbnRlciBtYXRlcmlhbCBkbyBxdWFsIG7Do28gZGV0w6ltIG9zIGRpcmVpdG9zIGRlIGF1dG9yLCBvYnRldmUgYSBhdXRvcml6YcOnw6NvIAoKaXJyZXN0cml0YSBkbyByZXNwZWN0aXZvIGRldGVudG9yIGRlc3NlcyBkaXJlaXRvcywgcGFyYSBjZWRlciBhIEZJT0NSVVogb3MgZGlyZWl0b3MgcmVxdWVyaWRvcyBwb3IgZXN0YSBMaWNlbsOnYSBlIGF1dG9yaXphciBhIAoKdXRpbGl6w6EtbG9zIGxlZ2FsbWVudGUuIERlY2xhcmEgdGFtYsOpbSBxdWUgZXNzZSBtYXRlcmlhbCBjdWpvcyBkaXJlaXRvcyBzw6NvIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlIGlkZW50aWZpY2FkbyBlIHJlY29uaGVjaWRvIAoKbm8gdGV4dG8gb3UgY29udGXDumRvIGRvIGRvY3VtZW50byBlbnRyZWd1ZS4KCmcpIFNFIE8gRE9DVU1FTlRPIEVOVFJFR1VFIMOJIEJBU0VBRE8gRU0gVFJBQkFMSE8gRklOQU5DSUFETyBPVSBBUE9JQURPIFBPUiBPVVRSQSBJTlNUSVRVScOHw4NPIFFVRSBOw4NPIEEgRklPQ1JVWiwgREVDTEFSQSBRVUUgQ1VNUFJJVSAKClFVQUlTUVVFUiBPQlJJR0HDh8OVRVMgRVhJR0lEQVMgUEVMTyBSRVNQRUNUSVZPIENPTlRSQVRPIE9VIEFDT1JETy4gQSBGSU9DUlVaIGlkZW50aWZpY2Fyw6EgY2xhcmFtZW50ZSBvKHMpIG5vbWUocykgZG8ocykgYXV0b3IoZXMpIGRvcyAKCmRpcmVpdG9zIGRvIGRvY3VtZW50byBlbnRyZWd1ZSBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIHBhcmEgYWzDqW0gZG8gcHJldmlzdG8gbmEgYWzDrW5lYSBjKS4KRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T02:45:45Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| title |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| spellingShingle |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) Marten, Robert Cobertura Universal Brasil Rússia Índia China África do Sul BRICS Universal health coverage Brazil Russia India China South Africa BRICS Cobertura Universal (Seguro Saúde) |
| title_short |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| title_full |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| title_fullStr |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| title_full_unstemmed |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| title_sort |
An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS) |
| author |
Marten, Robert |
| author_facet |
Marten, Robert Mcintyre, Diane Travassos, Claudia Shishkin, Sergey Longde, Wang Reddy, Srinath Vega, Jeanette |
| author_role |
author |
| author2 |
Mcintyre, Diane Travassos, Claudia Shishkin, Sergey Longde, Wang Reddy, Srinath Vega, Jeanette |
| author2_role |
author author author author author author |
| dc.contributor.author.fl_str_mv |
Marten, Robert Mcintyre, Diane Travassos, Claudia Shishkin, Sergey Longde, Wang Reddy, Srinath Vega, Jeanette |
| dc.subject.other.pt_BR.fl_str_mv |
Cobertura Universal Brasil Rússia Índia China África do Sul BRICS |
| topic |
Cobertura Universal Brasil Rússia Índia China África do Sul BRICS Universal health coverage Brazil Russia India China South Africa BRICS Cobertura Universal (Seguro Saúde) |
| dc.subject.en.en.fl_str_mv |
Universal health coverage Brazil Russia India China South Africa BRICS |
| dc.subject.decs.pt_BR.fl_str_mv |
Cobertura Universal (Seguro Saúde) |
| description |
The Rockefeller Foundation. New York, NY, USA / London School of Hygiene & Tropical Medicine. London, UK . |
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2014 |
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2014-12-22T17:06:40Z |
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2014-12-22T17:06:40Z |
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2014 |
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info:eu-repo/semantics/article |
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MARTEN, R. et al. An assessment of progress towards universal health coverage in brazil, russia, india, china, and south africa (brics). Lancet (British edition), v.X, p. online first,2014. |
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DOI:10.1016/S0140-6736(14)60075-1 |
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MARTEN, R. et al. An assessment of progress towards universal health coverage in brazil, russia, india, china, and south africa (brics). Lancet (British edition), v.X, p. online first,2014. 01406736 DOI:10.1016/S0140-6736(14)60075-1 |
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