Measuring performance on the healthcare access and quality index for 195 countries and territories and selected subnational locations: a systematic analysis from the global burden of disease study 2016

• Autor(a) principal: Nancyfullman
• Data de Publicação: 2018
• Outros Autores: Victor Aboyans, Ettore Beghi, Masoud Behzadifar, Meysam Behzadifar, Bayu Begashaw Bekele, Abate Bekele Belachew, Saba Abraham Belay, Yihalem Abebe Belay, Michelle l Bell, Aminu k Bello, Giorgia Giussani, William w Godwin, Srinivas Goli, Hector Gomez-dantes, Philimon n Gona, Amador Goodridge, Sameer Vali Gopalani, Yevgeniy Goryakin, Rufus Olusola Akinyemi, Ashish Bhalla, Ashkan Afshin, Alessandra Carvalho Goulart, Ayman Grada, Max Griswold, Giuseppe Grosso, Harish Chander Gugnani, Yuming Guo, Rahul Gupta, Rajeev Gupta, Tanush Gupta, Tarun Gupta, Robert p Dellavalle, Paurvi Bhatt, Tomi f Akinyemiju, Vipin Gupta, Juanita a Haagsma, Vladimir Hachinski, Nima Hafezi-nejad, Gessessew Bugssa Hailu, Randah Ribhi Hamadeh, Samer Hamidi, Graeme j Hankey, Gebre Demoz, Hilda l Harb, Soumyadeep Bhaumik, Heather c Harewood, Nadia Akseer, Sivadasanpillai Harikrishnan, Josep Maria Haro, Hamid Yimam Hassen, Rasmus Havmoeller, Caitlin Hawley, Simon i Hay, Kebede Deribe, Jiawei he, Stephen j c Hearps, Zulfiqar a Bhutta, Mohamed i Hegazy, Behzad Heibati, Solomon m Abay, Faris Hasan al Lami, Mohsen Heidari, Delia Hendrie, Nathaniel j Henry, Don c Des Jarlais, Victor Hugo Herrera Ballesteros, Claudiu Herteliu, Desalegn Tsegaw Hibstu, Daisy Maria Xavier de Abreu, Molla Kahssay Hiluf, Hans w Hoek, Enayatollah Homaie Rad, Nobuyuki Horita, Fares Alahdab, h Dean Hosgood, Subhojit Dey, Mostafa Hosseini, Seyed Reza Hosseini, Mihaela Hostiuc, Sorin Hostiuc, Belete Biadgo, Damian g Hoy, Mohamed Hsairi, Aung Soe Htet, Guoqing hu, John j Huang, Samath d Dharmaratne, Ziyad Al-aly, Kim Moesgaard Iburg, Fachmi Idris, Ehimario Uche Igumbor, Chad Ikeda, Ali Bijani, Bogdan Vasile Ileanu, Olayinka s Ilesanmi, Kaire Innos, Seyed Sina Naghibi Irvani, Meghnath Dhimal, Caleb m s Irvine, Farhad Islami, Khurshid Alam, Troy a Jacobs, Kathryn h Jacobsen, Nader Jahanmehr, Boris Bikbov, Rajesh Jain, Sudhir Kumar Jain, Mihajlo b Jakovljevic, Shirin Djalalinia, Moti Tolera Jalu, Amr a Jamal, Mehdi Javanbakht, Achala Upendra Jayatilleke, Tahiya Alam, Panniyammakal Jeemon, Ravi Prakash Jha, Charles Birungi, Vivekanand Jha, Jacek Jóúwiak, David Teye Doku, Oommen John, Sarah Charlotte Johnson, Jost b Jonas, Vasna Joshua, Mikk Jürisson, Zubair Kabir, Deena Alasfoor, Rajendra Kadel, Stan Biryukov, Amaha Kahsay, Derrick a Bennett, Rizwan Kalani, Chittaranjan Kar, Marina Karanikolos, André Karch, Corine Kakizi Karema, Seyed m Karimi, Amir Kasaeian, Dessalegn Haile Kassa, Mohammed i Albittar, Hailemichael Bizuneh, Kate Dolan, Getachew Mullu Kassa, Tesfaye Dessale Kassa, Nicholas j Kassebaum, Srinivasa Vittal Katikireddi, Anil Kaul, Norito Kawakami, Konstantin Kazanjan, Seifu Kebede, Peter Njenga Keiyoro, Grant Rodgers Kemp, Jamal Yearwood, Ian w Bolliger, Kefyalew Addis Alene, Andre Pascal Kengne, Maia Kereselidze, Ezra Belay Ketema, Yousef Saleh Khader, Morteza Abdullatif Khafaie, Alireza Khajavi, Ibrahim a Khalil, Ejaz Ahmad Khan, Gina Agarwal, Gulfaraz Khan, Kaylin Bolt, md Nuruzzaman Khan, Ayman Al-eyadhy, Muhammad Ali Khan, Mukti Nath Khanal, Young-ho Khang, Mona m Khater, Abdullah Tawfih Abdullah Khoja, Ardeshir Khosravi, e Ray Dorsey, Jagdish Khubchandani, Getiye Dejenu Kibret, Ibrahim r Bou-orm, Daniel Ngari Kiirithio, Daniel Kim, Syed Danish Ali, Yun Jin Kim, Ruth w Kimokoti, Yohannes Kinfu, Sanjay Kinra, Kadine Priscila Bender Dos Santos, Adnan Kisa, Niranjan Kissoon, Sonali Kochhar, Kayvan Bozorgmehr, Yoshihiro Kokubo, Jacek a Kopec, Soewarta Kosen, Cristiana Abbafati, Mehran Alijanzadeh, Parvaiz a Koul, Kerrie e Doyle, ai Koyanagi, Michael Kravchenko, Kewal Krishan, Kristopher j Krohn, Laith j Abu-raddad, Barthelemy Kuate Defo, g Anil Kumar, Pushpendra Kumar, Michael Kutz, Igor Kuzin, Tim r Driscoll, Syed m Aljunid, Hmwe h Kyu, Deepesh Pravinkumar Lad, Alessandra Lafranconi, Dharmesh Kumar Lal, Oliver Jerome Brady, Ratilal Lalloo, Hilton Lam, Qing Lan, Justin j Lang, Manisha Dubey, Van c Lansingh, Sonia Lansky, Ala'a Alkerwi, Anders Larsson, Arman Latifi, Jeffrey Victor Lazarus, Alexandra Brazinova, Janet l Leasher, Paul h Lee, Yirga Legesse, Eleonora Dubljanin, James Leigh, Cheru Tesema Leshargie, Samson Leta, Janni Leung, François Alla, Ricky Leung, Miriam Levi, Nicholas j k Breitborde, Yongmei li, Juan Liang, Bruce Bartholow Duncan, Misgan Legesse Liben, Lee-ling Lim, Stephen s Lim, Margaret Lind, Shai Linn, Stefan Listl, Peter Allebeck, Patrick Liu, Hermann Brenner, Shiwei Liu, Haftom Niguse Abraha, Rakesh Lodha, Alan d Lopez, Scott a Lorch, Stefan Lorkowski, Paulo a Lotufo, Timothy c d Lucas, Raimundas Lunevicius, Grégoire Lurton, Christine Allen, Gabrielle Britton, Michelle Echko, Ronan a Lyons, Fadi Maalouf, Erlyn Rachelle King Macarayan, Mark t Mackay, Emilie r Maddison, Fabiana Madotto, Hassan Magdy Abd el Razek, Mohammed Magdy Abd el Razek, Marek Majdan, Reza Majdzadeh, Dumessa Edessa, Traolach s Brugha, Mahmoud a Alomari, Azeem Majeed, Reza Malekzadeh, Rajesh Malhotra, Deborah Carvalho Malta, Abdullah a Mamun, Trey Manhertz, Helena Manguerra, Mohammad Ali Mansournia, David Edvardsson, Lorenzo g Mantovani, Zahid a Butt, Tsegahun Manyazewal, Rajaa Al-raddadi, Chabila c Mapoma, Christopher Margono, Jose Martinez-raga, Sheila Cristina Ouriques Martins, Francisco Rogerlândio Martins-melo, Ira Martopullo, Dominic Agius, Winfried März, Benjamin Ballard Massenburg, Lucero Cahuana-hurtado, Manu Raj Mathur, Pallab k Maulik, Ubai Alsharif, Mohsen Mazidi, Colm Mcalinden, John j Mcgrath, Martin Mckee, Joshua r Ehrlich, Suresh Mehata, Ravi Mehrotra, Kala m Mehta, Ismael Ricardo Campos-nonato, Varshil Mehta, Toni Meier, Fabiola Mejia-rodriguez, Khalid a Altirkawi, Kidanu Gebremariam Meles, Mulugeta Melku, Erika Eldrenkamp, Peter Memiah, Ziad a Memish, Walter Mendoza, Degu Abate Mengiste, Julio Cesar Campuzano, Desalegn Tadese Mengistu, Bereket Gebremichael Menota, George a Mensah, Atte Meretoja, Foad Abd-allah, Ziad Ziad El-khatib, Nelson Alvis-guzman, Tuomo j Meretoja, Haftay Berhane Mezgebe, Tomasz Miazgowski, Renata Micha, Akilew Awoke Adane, Robert Milam, Anoushka Millear, Ted r Miller, gk Mini, Matthias Endres, Shawn Minnig, Andreea Mirica, Azmeraw t Amare, Erkin m Mirrakhimov, Awoke Misganaw, Philip b Mitchell, Josip Car, Fitsum Weldegebreal Mlashu, Babak Moazen, Karzan Abdulmuhsin Mohammad, Aman Yesuf Endries, Roghayeh Mohammadibakhsh, Ebrahim Mohammed, Mohammed a Mohammed, Shafiu Mohammed, Kebede Amenu, Ali h Mokdad, Glen Liddell Mola, Mate Car, Mariam Molokhia, Fatemeh Momeniha, Babak Eshrati, Lorenzo Monasta, Julio Cesar Montañez Hernandez, Mahmood Moosazadeh, Maziar Moradi-lakeh, Paula Moraga, Lidia Morawska, Walid Ammar, Ilais Moreno Velasquez, Rosario Cárdenas, Rintaro Mori, James r Bennett, Shane d Morrison, Mark Moses, Seyyed Meysam Mousavi, Ulrich o Mueller, Manoj Murhekar, Gudlavalleti Venkata Satyanarayana Murthy, Srinivas Murthy, Jonah Musa, Yaw Ampem Amoako, Juan Jesus Carrero, Sharareh Eskandarieh, Kamarul Imran Musa, Ghulam Mustafa, Saravanan Muthupandian, Chie Nagata, Gabriele Nagel, Mohsen Naghavi, Aliya Naheed, Gurudatta a Naik, Nitish Naik, Farid Najafi, Alireza Esteghamati, Felix Carvalho, Nahla Anber, Luigi Naldi, Vinay Nangia, Jobert Richie Njingang Nansseu, km Venkat Narayan, Bruno Ramos Nascimento, Ionut Negoi, Ruxandra Irina Negoi, Charles r Newton, Mahdi Fakhar, Josephine Wanjiku Ngunjiri, Carlos a Castañeda-orjuela, Grant Nguyen, Catalina Liliana Andrei, Long Nguyen, Trang Huyen Nguyen, Emma Nichols, Dina Nur Anggraini Ningrum, Ellen Nolte, Vuong Minh Nong, Tamer Farag, Ole f Norheim, bo Norrving, Jacqueline Castillo Rivas, Jean Jacques n Noubiap, Alypio Nyandwi, Sofia Androudi, Carla Makhlouf Obermeyer, Richard Ofori-asenso, Felix Akpojene Ogbo, In-hwan oh, Anurag Agrawal, Olanrewaju Oladimeji, Andrew Toyin Olagunju, Tinuke Oluwasefunmi Olagunju, Ferrán Catalá-lópez, Pedro r Olivares, Patricia Pereira Vasconcelos de Oliveira, Helen e Olsen, Carl Abelardo t Antonio, Bolajoko Olubukunola Olusanya, Jacob Olusegun Olusanya, Mahbobeh Faramarzi, Kanyin Ong, John Nelson Opio, Eyal Oren, Doris v Ortega-altamirano, Kelly Cercy, Alberto Ortiz, Raziye Ozdemir, Mahesh pa, Amanda w Pain, Valdelaine e m Araújo, Emerito Jose Aquino Faraon, Marcos Roberto Tovani Palone, Adrian Pana, Songhomitra Panda-jonas, Jeyaraj d Pandian, Eun-kee Park, Julian Chalek, Hadi Parsian, Tejas Patel, Sanghamitra Pati, Snehal t Patil, André Faro, Ajay Patle, Jemal Abdela, Olatunde Aremu, George c Patton, Vishnupriya Rao Paturi, Deepak Paudel, Rufus Adesoji Adedoyin, Marcel de Moares Pedroso, Sandra p Pedroza, David m Pereira, Farshad Farzadfar, Norberto Perico, Hannah Peterson, Max Petzold, Niloofar Peykari, Johan Ärnlöv, Michael Robert Phillips, Frédéric b Piel, Hsing-yi Chang, David m Pigott, Julian David Pillay, Adesegun Fatusi, Michael a Piradov, Suzanne Polinder, Constance d Pond, Maarten j Postma, Farshad Pourmalek, Swayam Prakash, al Artaman, v Prakash, Jung-chen Chang, Narayan Prasad, Isabela m Bensenor, Noela Marie Prasad, Caroline Purcell, Mostafa Qorbani, Hedley Knewjen Quintana, Amir Radfar, Anwar Rafay, Alireza Rafiei, Kazem Rahimi, Krishna Kumar Aryal, Aparajita Chattopadhyay, Mir Sohail Fazeli, Afarin Rahimi-movaghar, Vafa Rahimi-movaghar, Mahfuzar Rahman, Muhammad Aziz Rahman, Sajjad ur Rahman, Rajesh Kumar Rai, Sree Bhushan Raju, Usha Ram, Saleem m Rana, Zane Rankin, Valery l Feigin, Pankaj Chaturvedi, Hamid Asayesh, Davide Rasella, David Laith Rawaf, Salman Rawaf, Sarah e Ray, Christian Aspacia Razo-garcía, Priscilla Reddy, Robert c Reiner, Cesar Reis, Andrea b Feigl, Marissa b Reitsma, Peggy Pei-chia Chiang, Giuseppe Remuzzi, Ephrem Tsegay Asfaw, Andre m n Renzaho, Serge Resnikoff, Satar Rezaei, Mohammad Sadegh Rezai, Antonio l Ribeiro, Maria Jesus Rios Blancas, Netsanet Fentahun, Juan a Rivera, Leonardo Roever, Vesper Hichilombwe Chisumpa, Luca Ronfani, Gholamreza Roshandel, Solomon Weldegebreal Asgedom, Ali Rostami, Gregory a Roth, Dietrich Rothenbacher, Ambuj Roy, Seyed-mohammad Fereshtehnejad, Nobhojit Roy, George Mugambage Ruhago, Yogesh Damodar Sabde, Jee-young j Choi, Perminder s Sachdev, Nafis Sadat, Mahdi Safdarian, Rana Jawad Asghar, Saeid Safiri, Rajesh Sagar, Sutapa Agrawal, Amirhossein Sahebkar, Mohammad Ali Sahraian, Haniye Sadat Sajadi, Joseph Salama, Hanne Christensen, Payman Salamati, Raphael de Freitas Saldanha, Hamideh Salimzadeh, Joshua a Salomon, Mengistu Mitiku Ashebir, Eduarda Fernandes, Abdallah m Samy, Juan Ramon Sanabria, Parag k Sancheti, Maria Dolores Sanchez-niño, Damian Santomauro, Devasahayam Jesudas Christopher, Itamar s Santos, Milena m Santric Milicevic, Abdur Razzaque Sarker, Nizal Sarrafzadegan, João c Fernandes, Benn Sartorius, Netsanet Abera Asseffa, Maheswar Satpathy, Miloje Savic, Monika Sawhney, Sonia Saxena, Sheng-chia Chung, Mete i Saylan, Elke Schaeffner, Josef Schmidhuber, Daniel Obadare Fijabi, Maria Inês Schmidt, Ione j c Schneider, Austin e Schumacher, Ahmed Abdelalim, Tesfay Mehari Atey, Aletta e Schutte, David c Schwebel, Olatunji Adetokunboh, Falk Schwendicke, Mario Sekerija, Irina Filip, Sadaf g Sepanlou, Edson e Servan-mori, Azadeh Shafieesabet, Masood Ali Shaikh, Marina Shakh-nazarova, Mehran Shams-beyranvand, Sachin r Atre, Heidar Sharafi, Liliana g Ciobanu, Mahdi Sharif-alhoseini, Derbew Fikadu Berhe, Sheikh Mohammed Shariful Islam, Meenakshi Sharma, Rajesh Sharma, Jun She, Aziz Sheikh, Mebrahtu Teweldemedhin Shfare, Peilin Shi, Chloe Shields, Madhu s Atteraya, Massimo Cirillo, Florian Fischer, Mika Shigematsu, Yukito Shinohara, Rahman Shiri, Reza Shirkoohi, Ivy Shiue, Mark g Shrime, Sharvari Rahul Shukla, Soraya Siabani, Inga Dora Sigfusdottir, Donald h Silberberg, Christina Fitzmaurice, Danny Colombara, Leticia Avila-burgos, Diego Augusto Santos Silva, João Pedro Silva, Dayane Gabriele Alves Silveira, Jasvinder a Singh, Lavanya Singh, Narinder Pal Singh, Virendra Singh, Dhirendra Narain Sinha, Abraham d Flaxman, Abiy Hiruye Sinke, Sara Conti, Mekonnen Sisay, Euripide Frinel g Arthur Avokpaho, Vegard Skirbekk, Karen Sliwa, Alison Smith, Adauto Martins Soares Filho, Badr h a Sobaih, Melek Somai, Luisa Sorio Flor, Samir Soneji, Moslem Soofi, Cyrus Cooper, Reed j d Sorensen, Joan b Soriano, Ashish Awasthi, Ireneous n Soyiri, Luciano a Sposato, Chandrashekhar t Sreeramareddy, Vinay Srinivasan, Nataliya Foigt, Jeffrey d Stanaway, Vasiliki Stathopoulou, Nicholas Steel, Leslie Cornaby, Dan j Stein, Mark Andrew Stokes, Lela Sturua, Beatriz Paulina Ayala Quintanilla, Muawiyyah Babale Sufiyan, Rizwan Abdulkader Suliankatchi, Kyle j Foreman, Bruno f Sunguya, Patrick j Sur, Bryan l Sykes, pn Sylaja, Paolo Angelo Cortesi, Rafael Tabarés-seisdedos, Santosh Kumar Tadakamadla, Andualem Henok Tadesse, Getachew Redae Taffere, Animut Alebel Ayalew, Aliasghar Ahmad Kiadaliri, Nikhil Tandon, Amare Tariku Tariku, Nuno Taveira, Arash Tehrani-banihashemi, Girma Temam Shifa, Monica Cortinovis, Mohamad-hani Temsah, Abdullah Sulieman Terkawi, Azeb Gebresilassie Tesema, Dawit Jember Tesfaye, Joseph j Frostad, Belay Tessema, Henok Tadesse Ayele, js Thakur, Nihal Thomas, Matthew j Thompson, Taavi Tillmann, Alexandre Costa Pereira, Quyen g to, Ruoyan Tobe-gai, Marcello Tonelli, Thomas Fürst, Roman Topor-madry, Fotis Topouzis, Anna Torre, Rakesh Ayer, Miguel Tortajada, Bach Xuan Tran, Khanh Bao Tran, Ewerton Cousin, Avnish Tripathi, Srikanth Prasad Tripathy, Neal d Futran, Christopher Troeger, Thomas Truelsen, Derrick Tsoi, Lorainne Tudor Car, Kald Beshir Tuem, Zegeye Abebe, Tambe Betrand Ayuk, Stefanos Tyrovolas, Tara Ballav Adhikari, Uche s Uchendu, Eduardo Bernabé, Kingsley n Ukwaja, Irfan Ullah, Rachel Updike, Olalekan a Uthman, Benjamin s Chudi Uzochukwu, Pascual Rubén Valdez, Job f m Van Boven, Santosh Varughese, Peter Azzopardi, Michael h Criqui, Emmanuela Gakidou, Tommi Vasankari, Francesco s Violante, Sergey k Vladimirov, Vasiliy Victorovich Vlassov, Stein Emil Vollset, Theo Vos, Fasil Wagnew, Yasir Waheed, Mitchell t Wallin, Judd l Walson, Silvano Gallus, Elizabeth a Cromwell, Natasha Azzopardi-muscat, Yafeng Wang, Yuan-pang Wang, Molla Mesele Wassie, Marcia r Weaver, Elisabete Weiderpass, Robert g Weintraub, Jordan Weiss, Kidu Gidey Weldegwergs, Ketevan Gambashidze, Andrea Werdecker, Christopher Stephen Crowe, t Eoin West, Tesleem Kayode Babalola, Ronny Westerman, Richard g White, Harvey a Whiteford, Justyna Widecka, Andrea Sylvia Winkler, Charles Shey Wiysonge, Amiran Gamkrelidze, Charles da Wolfe, Yohanes Ayele Wondimkun, John a Crump, Abdulhalik Workicho, Grant m a Wyper, Hamid Badali, Denis Xavier, Gelin xu, Lijing l Yan, Yuichiro Yano, Morsaleh Ganji, Mehdi Yaseri, Nigus Bililign Yimer, Peng Yin, Alemneh Kabeta Daba, Paul Yip, Biruck Desalegn Yirsaw, Naohiro Yonemoto, Alaa Badawi, Gerald Yonga, Seok-jun Yoon, Abadi Kahsu Gebre, Marcel Yotebieng, Mustafa z Younis, Chuanhua yu, Vesna Zadnik, Berihun Assefa Dachew, Zoubida Zaidi, Maysaa el Sayed Zaki, Sojib Bin Zaman, Mohammad Zamani, Maciej Banach, Tsegaye Tewelde Gebrehiwot, Zerihun Menlkalew Zenebe, Maigeng Zhou, Jun Zhu, Stephanie r m Zimsen, Ben Zipkin, Abel Fekadu Dadi, Sanjay Zodpey, Liesl Joanna Zuhlke, Christopher j l Murray, Rafael Lozano, Miloud Taki Eddine Aichour, Amitava Banerjee, Amrit Banstola, Ryan m Barber, Teshome Abuka Abebo, Miguel a Barboza, Suzanne l Barker-collo, Lalit Dandona, Till Bärnighausen, Simon Barquera, Lope h Barrero, Amanuel Tesfay Gebremedhin, Quique Bassat, Sanjay Basu, Bernhard t Baune, Shahrzad Bazargan-hejazi, Neeraj Bedi, Rakhi Dandona, Paul i Dargan, Mohsen Afarideh, Ahmad Daryani, Maryam Daryani, Yalemzewod Assefa Gelaw, Jai Das, Siddharth Kumar Das, José Das Neves, Nicole Davis Weaver, Kairat Davletov, Barbora de Courten, Diego de Leo, Jan-walter de Neve, Robert Steven Bernstein, Johanna m Geleijnse, Demeke Geremew, Peter w Gething, Reza Ghadimi, Khalil Ghasemi Falavarjani, Maryam Ghasemi-kasman, Paramjit Singh Gill, Ababi Zergaw Giref, Mohammed Akibu, Maurice Giroud, Mircea Beuran, Melkamu Dedefo Gishu
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/52188; https://orcid.org/0000-0002-8214-5734
• topic: Carga global de doença; Carga global de doença; Carga global de doença; Carga global de doença; Acesso efetivo aos serviços de saúde; Acesso efetivo aos serviços de saúde; Política de saúde; Política de saúde; Acesso efetivo aos serviços de saúde; Acesso efetivo aos serviços de saúde; Acesso efetivo aos serviços de saúde; Acesso efetivo aos serviços de saúde; Carga global de doença; Carga global de doença; Carga global de doença; Carga global de doença

Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016.Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0–100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0–100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita.Findings In 2016, HAQ Index performance spanned from a high of 97·1 (95% UI 95·8–98·1) in Iceland, followed by 96·6 (94·9–97·9) in Norway and 96·1 (94·5–97·3) in the Netherlands, to values as low as 18·6 (13·1–24·4) in the Central African Republic, 19·0 (14·3–23·7) in Somalia, and 23·4 (20·2–26·8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91·5 (89·1–93·6) in Beijing to 48·0 (43·4–53·2) in Tibet (a 43·5-point difference), while India saw a 30·8-point disparity, from 64·8 (59·6–68·8) in Goa to 34·0 (30·3–38·1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4·8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20·9-point to 17·0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17·2-point to 20·4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries.Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view—and subsequent provision—of quality health care for all populations.