Claims data from health insurance programmes in sub-Saharan Africa: an untapped resource to promote Universal Health Coverage

IF 7.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMJ Global Health Pub Date : 2024-07-01 DOI:10.1136/bmjgh-2024-015310
Angela E Apeagyei, Maitreyi Sahu
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Abstract

### Summary box In the effort to advance towards Universal Health Coverage (UHC), several African countries are implementing public health insurance programmes to increase financial risk protection, reduce catastrophic health expenditure and broaden access to services for treatment and prevention of disease.1 2 In sub-Saharan Africa (SSA), 8 out of 49 countries have implemented some form of national-level contributory public health insurance system, and at least 7 others have passed legislation or are in the process of planning a national health insurance programme (Figure 1).1 However, programmes face challenges with low enrolment, limited uptake of services and uncertain financial sustainability. These programmes can greatly benefit from analyses to identify opportunities for improvement and to support national policymaking. Figure 1 Does a national public insurance program exist, and has there been published research using claims data? *Status of …
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撒哈拉以南非洲医疗保险计划的报销数据:促进全民医保的未开发资源
#### 摘要框 在努力实现全民健康保险(UHC)的过程中,一些非洲国家正在实施公共医疗保险计划,以增加财务风险保护,减少灾难性医疗支出,扩大疾病治疗和预防服务的覆盖面。2 在撒哈拉以南非洲地区(SSA),49 个国家中有 8 个国家已经实施了某种形式的国家级缴费型公共医疗保险制度,至少还有 7 个国家已经通过立法或正在规划国家医疗保险计划(图 1)。1 然而,这些计划面临着参保率低、服务利用率有限以及财政可持续性不确定等挑战。通过分析来确定改进机会并支持国家决策,可使这些计划受益匪浅。图 1 是否存在国家公共保险计划,是否有利用索赔数据进行的公开研究?*Status of ...
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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
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