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A country-level comparison of access to quality surgical and non-surgical healthcare from 1990-2016

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  • Taylor Wurdeman
  • Gopal Menon
  • John G Meara
  • Blake C Alkire

Abstract

Background: The Healthcare Access and Quality (HAQ) index, developed by the Institute for Health Metrics and Evaluation, uses estimates of amenable mortality to quantify health system performance over time. While much is known about general health system performance globally, few studies have portrayed the performance of surgical systems. In order to quantify access to quality surgical care, evaluate changes over time, and link these changes to health care investments, surgical and non-surgical Health Access and Quality sub-indices were developed. Design: We categorized 32 amenable mortality causes as either surgical or non-surgical conditions. Using principal components analysis and scaled amenable mortality rates, we constructed a surgical and non-surgical Health Access and Quality sub-index. Using these sub-indices, relative improvement over time was compared. An expenditure model with country fixed effects was built to explore drivers of differences in relative improvement of sub-indices. Results: Compared to low-income countries, high-income countries have been 2.77 times more effective at improving surgical care (p

Suggested Citation

  • Taylor Wurdeman & Gopal Menon & John G Meara & Blake C Alkire, 2020. "A country-level comparison of access to quality surgical and non-surgical healthcare from 1990-2016," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-12, November.
    • Handle: RePEc:plo:pone00:0241669
    DOI: 10.1371/journal.pone.0241669
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    1. World Health Organization & UNICEF & UNFPA & World Bank Group & United Nations, 2015. "Trends in Maternal Mortality," World Bank Publications - Books, The World Bank Group, number 23550, December.
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