Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global …

Nancy Fullman,Jamal Yearwood,Solomon M Abay,Cristiana Abbafati,Foad Abd-Allah,Jemal Abdela,Ahmed Abdelalim,Zegeye Abebe,Teshome Abuka Abebo,Victor Aboyans,Haftom Niguse Abraha,Daisy MX Abreu,Laith J Abu-Raddad,Akilew Awoke Adane,Rufus Adesoji Adedoyin,Olatunji Adetokunboh,Tara Ballav Adhikari,Mohsen Afarideh,Ashkan Afshin,Gina Agarwal,Dominic Agius,Anurag Agrawal,Sutapa Agrawal,Aliasghar Ahmad Kiadaliri,Miloud Taki Eddine Aichour,Mohammed Akibu,Rufus Olusola Akinyemi,Tomi F Akinyemiju,Nadia Akseer,Faris Hasan Al Lami,Fares Alahdab,Ziyad Al-Aly,Khurshid Alam,Tahiya Alam,Deena Alasfoor,Mohammed I Albittar,Kefyalew Addis Alene,Ayman Al-Eyadhy,Syed Danish Ali,Mehran Alijanzadeh,Syed M Aljunid,Ala'a Alkerwi,François Alla,Peter Allebeck,Christine Allen,Mahmoud A Alomari,Rajaa Al-Raddadi,Ubai Alsharif,Khalid A Altirkawi,Nelson Alvis-Guzman,Azmeraw T Amare,Kebede Amenu,Walid Ammar,Yaw Ampem Amoako,Nahla Anber,Catalina Liliana Andrei,Sofia Androudi,Carl Abelardo T Antonio,Valdelaine EM Araújo,Olatunde Aremu,Johan Ärnlöv,Al Artaman,Krishna Kumar Aryal,Hamid Asayesh,Ephrem Tsegay Asfaw,Solomon Weldegebreal Asgedom,Rana Jawad Asghar,Mengistu Mitiku Ashebir,Netsanet Abera Asseffa,Tesfay Mehari Atey,Sachin R Atre,Madhu S Atteraya,Leticia Avila-Burgos,Euripide Frinel G Arthur Avokpaho,Ashish Awasthi,Beatriz Paulina Ayala Quintanilla, Animut Alebel Ayalew,Henok Tadesse Ayele,Rakesh Ayer,Tambe Betrand Ayuk,Peter Azzopardi,Natasha Azzopardi-Muscat,Tesleem Kayode Babalola,Hamid Badali,Alaa Badawi,Maciej Banach,Amitava Banerjee,Amrit Banstola,Ryan M Barber,Miguel A Barboza,Suzanne L Barker-Collo,Till Bärnighausen,Simon Barquera,Lope H Barrero,Quique Bassat,Sanjay Basu,Bernhard T Baune,Shahrzad Bazargan-Hejazi,Neeraj Bedi,Ettore Beghi,Masoud Behzadifar,Meysam Behzadifar,Bayu Begashaw Bekele,Abate Bekele Belachew,Saba Abraham Belay,Yihalem Abebe Belay,Michelle L Bell,Aminu K Bello,Derrick A Bennett,James R Bennett,Isabela M Bensenor,Derbew Fikadu Berhe,Eduardo Bernabé, Robert Steven Bernstein,Mircea Beuran,Ashish Bhalla,Paurvi Bhatt,Soumyadeep Bhaumik,Zulfiqar A Bhutta,Belete Biadgo,Ali Bijani,Boris Bikbov,Charles Birungi,Stan Biryukov,Hailemichael Bizuneh,Ian W Bolliger,Kaylin Bolt,Ibrahim R Bou-Orm,Kayvan Bozorgmehr,Oliver Jerome Brady,Alexandra Brazinova,Nicholas JK Breitborde,Hermann Brenner,Gabrielle Britton,Traolach S Brugha,Zahid A Butt,Lucero Cahuana-Hurtado,Ismael Ricardo Campos-Nonato,Julio Cesar Campuzano,Josip Car,Mate Car,Rosario Cárdenas,Juan Jesus Carrero,Felix Carvalho,Carlos A Castañeda-Orjuela,Jacqueline Castillo Rivas,Ferrán Catalá-López,Kelly Cercy,Julian Chalek,Hsing-Yi Chang

The Lancet（2018）

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摘要

BackgroundA 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.MethodsDrawing 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 …

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