Margaret E Kruk|Anna Gage|Naima T. Joseph|Goodarz Danaei|Sebastián García-Saisó|Joshua A. Salomon
Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries
Harvard Global Health Institute|Harvard Global Health Institute|Emory University|Harvard Global Health Institute|Stanford University
h3backgroundh3 universal health coverage proposed strategy improve health lowincome middleincome countries lmics however contingent provision goodquality health care estimate excess mortality conditions targeted sustainable development goals sdg amenable health care portion excess mortality due poorquality care 137 lmics excess mortality refers deaths could averted settings strong health systems h3methodsh3 using data 2016 global burden disease study calculated mortality amenable personal health care 61 sdg conditions comparing case fatality lmic corresponding numbers 23 highincome reference countries strong health systems used data healthcare utilisation population surveys separately estimate portion amenable mortality attributable nonutilisation health care versus attributable receipt poorquality care h3findingsh3 156 million excess deaths 61 conditions occurred lmics 2016 excluding deaths could prevented public health measures 86 million excess deaths amenable health care 50 million estimated due receipt poorquality care 36 million due nonutilisation health care poor quality health care major driver excess mortality across conditions cardiovascular disease injuries neonatal communicable disorders h3interpretationh3 universal health coverage sdg conditions could avert 86 million deaths per year expansion service coverage accompanied investments highquality health systems h3fundingh3 bill melinda gates foundation