Meeting the challenges of providing universal health coverage New approaches to service delivery must produce greater value for patients

摘要

Momentum is gathering around efforts to achieve universal health coverage-defined by the World Health Organization as universal access to needed health services without the patient experiencing financial hardship to pay for them. In December 2012, the United Nations General Assembly unanimously adopted a resolution endorsing universal health coverage and urging governments to provide affordable healthcare to all. There is also strong support for making such provision a priority in the post-2015 global development framework that will succeed the millennium development goals. These developments are timely, for the health inequalities that leave more than a billion people without access to health services are increasingly recognised as an infringement of human rights and a constraint on the economic growth and social development of nations. The risk, however, is that a welcome global endeavor to ensure that more people can realise their right to health may default to a vast global investment in the replication of past mistakes.