| Titre : | Access, utilization, quality, and effective coverage : An integrated conceptual framework and measurement strategy. (2005) |
| Auteurs : | SHENGELIA (Bakhuti) : CHE. World Health Organization. Department of Chronic Diseases and Health Promotion. World Health Organization. Geneva. ; ADAMS (Orvill-B) : CHE. World Health Organization. Department of Human Resources for Health. World Health Organization. Geneva. ; Christopher J.L. Murray ; Ajay TANDON ; Harvard University. Harvard University Global Health Initiative. Cambridge. MA. USA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 61, n° 1, 2005) |
| Pagination : | 97-109 |
| Langues: | Anglais |
| Mots-clés : | Qualité ; Stratégie ; Evaluation ; Système santé |
| Résumé : | [BDSP. Notice produite par INIST-CNRS iSVR0xne. Diffusion soumise à autorisation]. Health systems can primarily improve the health of individuals and populations by delivering high-quality interventions to those who may benefit from them. We propose a concept of effective coverage as the probability that individuals will receive health gain from an intervention if they need it. Understanding the extent to which health systems are delivering key interventions to those who will benefit from them and the factors that explain gaps in delivery are a critical input to decision-making at the local, national and global levels. We develop an integrated conceptual framework for monitoring and analyzing the delivery of high-quality interventions to those who need them. This framework can help clarify the inter-relationships between notions of access, demand for care, utilization, and coverage on the one hand and highlight the requirements for health information systems that can sustain this type of analysis. We discuss measurement strategies and demonstrate the concept by means of a simple simulation model. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact