Impact of universal health coverage on suicide risk in newly diagnosed cancer patients: Population-based cohort study from 1985 to 2007 in Taiwan

IntroductionUniversal health coverage (UHC) includes the dimensions of equity in access, quality services that improve health and protection against financial hardship. Cataract continues to be the leading cause of blindness globally, despite cataract surgery being an efficacious intervention. The aim of this scoping review is to map the nature, extent and global distribution of data on cataract services for UHC in terms of equity, access, quality and financial protection.Methods and analysisThe search will be constructed by an Information Specialist and undertaken in MEDLINE, Embase and Global Health databases. We will include all published non-interventional primary research studies and systematic reviews that report a quantitative assessment of access, equity, quality or financial protection of cataract surgical services for adults at the subnational, national, regional or global level from population-based surveys or routinely collected health service data since 1 January 2000 and published through to February 2020.Screening and data charting will be undertaken using Covidence systematic review software. Titles and abstracts of identified studies will be screened by two authors independently. Full-text articles of potentially relevant studies will be obtained and reviewed independently by two authors against the inclusion criteria. Any discrepancies between the authors will be resolved by discussion, and with a third author as necessary. A data charting form will be developed and piloted on three studies by three authors and amendments made as necessary. Data will be extracted by two reviewers independently and summarised narratively and using maps.Ethics and disseminationEthical approval was not sought as the scoping review will only use published and publicly accessible data. The review will be published in an open access peer-reviewed journal. A summary of the results will be developed for website posting, stakeholder meetings and inclusion in the ongoing Lancet Global Health Commission on Global Eye Health.

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P1476Income level and clinical outcomes of post-discharge heart failure in universal health coverage medical insurance society: a 18-year nationwide longitudinal population-based study

European Heart Journal ◽

10.1093/eurheartj/ehx502.p1476 ◽

2017 ◽

Vol 38 (suppl_1) ◽

Author(s):

C.L. Hung ◽

C.H. Su ◽

J.N. Liao ◽

K.T. Sung ◽

H.I. Yeh ◽

...

Keyword(s):

Heart Failure ◽

Clinical Outcomes ◽

Universal Health Coverage ◽

Medical Insurance ◽

Population Based ◽

Health Coverage ◽

Post Discharge ◽

Population Based Study ◽

Universal Health

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Impact of universal health coverage on urban–rural inequity in psychiatric service utilisation for patients with first admission for psychosis: a 10-year nationwide population-based study in Taiwan

BMJ Open ◽

10.1136/bmjopen-2015-010802 ◽

2016 ◽

Vol 6 (3) ◽

pp. e010802 ◽

Cited By ~ 13

Author(s):

Chih-Lin Chiang ◽

Pei-Chun Chen ◽

Ling-Ya Huang ◽

Po-Hsiu Kuo ◽

Yu-Chi Tung ◽

...

Keyword(s):

Universal Health Coverage ◽

Psychiatric Service ◽

Population Based ◽

Service Utilisation ◽

Health Coverage ◽

Population Based Study ◽

Urban Rural ◽

Universal Health ◽

First Admission

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Risk for COVID-19 among Migrants from different areas of the World in Spain: A population-based cohort study in a country with universal health coverage

10.1101/2020.05.25.20112185 ◽

2020 ◽

Author(s):

Carlos Guijarro ◽

Elia Pérez-Fernández ◽

Beatriz González-Piñeiro ◽

Victoria Meléndez ◽

Maria José Goyanes ◽

...

Keyword(s):

Latin America ◽

Universal Health Coverage ◽

Population Based ◽

Sub Saharan Africa ◽

Health Coverage ◽

Relative Risks ◽

Increased Risk ◽

The World ◽

Sub Saharan ◽

Universal Health

AbstractObjectiveTo evaluate the COVID-19 incidence among migrants from different areas of the world as compared to Spaniards living in AlcorcónDesignPopulation-based cohort analysis of the cumulative incidence of PCR-confirmed COVID-19 cases until April 25 (2020) among adult residents at Alcorcón (Spain) attended at the only public hospital serving this city. Crude incident rates for Spaniards and migrants from different areas of the world were estimated. Age and sex-adjusted relative risks for COVID19 were estimated by negative bomial regression.SettingUniversity public Hospital at Alcorcón, Madrid, SpainParticipantsAll adult residents living in Alcorcon classified by their country and region of the world of origin.Main outcomePCR confirmed COVID-19.ResultsPCR confirmed COVID-19 cumulative incidence was 6.81 cases per 1000 inhabitants among residents of Alcorcón. The crude incidence among migrants (n=20419) was higher than among Spaniards (n=131599): 8.81 and 6.51 and per 1000 inhabitants respectively (p<0.001).By regions of the world, crude cumulative COVID-19 incidence rates were: European Union 2.38, Asia 2.01,, Northern Africa 3.59, East ern Europe 4.37, Sub-Saharan Africa 11.24, Caribbean 18.26 and Latin-America 20.77 8 per 1000 inhabitants. Migrant residents were markedly younger than Spaniards (median age 52 vs 73 years, p<0.001). By negative binomial regression, adjusted for age and sex, relative risks (RR) for COVID-19 were not significantly different from Spaniards for individuals from Europe, Asia or Northern Africa. In contrast, there was an increased risk for Sub-Saharan Africa (RR 3.66, 95% confidence interval (CI) 1.42-9.41, p=0.007), Caribbean (RR 6.35, 95% CI 3.83-10.55, p<0.001) and Latin-America (RR 6.92, 95% CI 4.49-10.67, p <0.001).ConclusionsThere was a marked increased risk for COVID-19 among migrants from Sub-Saharan Africa, Caribbean and Latin-America residing in Spain. The reasons underlying this increased risk and health and social implications deserve further attention.What is known about the topicRecent reports suggest an increased burden of COVID-19 among migrants or ethnic minorities in the United Kingdom and the USA, particularly regarding mortality. Reports have failed to dissociate clinical outcomes from differences in access to medical care or pre-existing medical conditions. There is no information regarding COVID risk for latinos in countries with universal health coverageWhat this study addMigrants from subsaharian Africa resident in Spain exhibit an increased risk for COVID-19. This risk is further increased for migrants from the Caribbean and Latin-America and cannot be attributed to unequal access to medical care. Studies in countries with universal health coverage may help to dissociate COVID burden in migrants and ethnic populations from access to health care.

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Expanding Access to Essential Quality Services for Cancer Patients as Part of Universal Health Coverage: Reflections From the World Cancer Leaders’ Summit

JCO Global Oncology ◽

10.1200/go.20.00020 ◽

2020 ◽

pp. 500-503

Author(s):

Sonali Elizabeth Johnson ◽

Rowena Tasker ◽

Dina Mired ◽

Anil D’Cruz ◽

Cary Adams

Keyword(s):

Cancer Patients ◽

Universal Health Coverage ◽

Health Coverage ◽

The World ◽

Essential Quality ◽

Universal Health

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Incidence of central serous chorioretinopathy (2011–2018): a nationwide population-based cohort study of Japan

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2021-319403 ◽

2021 ◽

pp. bjophthalmol-2021-319403

Author(s):

Ai Kido ◽

Masahiro Miyake ◽

Hiroshi Tamura ◽

Shusuke Hiragi ◽

Takeshi Kimura ◽

...

Keyword(s):

Cohort Study ◽

Incidence Rate ◽

Central Serous Chorioretinopathy ◽

Age Of Onset ◽

Population Based ◽

Treatment Pattern ◽

Health Coverage ◽

Crude Incidence ◽

Major Treatment ◽

Universal Health

AimsThe aim of this study was to elucidate the epidemiological background of central serous chorioretinopathy (CSC), including its incidence and treatment pattern.MethodsThis was a population-based longitudinal cohort study using a nationwide health insurance claims database of the Japan Ministry of Health, Labour and Welfare (MHLW). As Japan employs universal health coverage, the database covers more than 95% of claims issued in Japan. We accessed all data stored in the database with permission from the MHLW. We traced all individuals aged 30 years or older and identified individuals with new onset of CSC between January 2011 and December 2018. CSC cases were categorised by age and sex for each year, and incidence rate was calculated. We also identified major treatments for CSC to elucidate the initial treatment pattern.ResultsDuring the 8-year period, 247 930 incidences of CSC were identified, among which 75.9% were men. The crude incidence rate (per 100 000 person-years) in the general population aged 30 years or older was 34.0 (95% CI 33.9 to 34.2), in men was 54.2 (95% CI 53.9 to 54.4) and in women was 15.7 (95% CI 15.5 to 15.8). The mean age of onset was lower in men than in women (50.5±12.5 years vs 54.7±13.5 years). Most of the patients with newly diagnosed CSC (86.8%) did not receive major treatment.ConclusionsThe current study provides the nationwide population-based evidence to clarify the detailed epidemiology of CSC. These results could help to understand the pathogenesis and mechanisms of CSC in the future.

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Realizing the potential of routinely collected data for monitoring eye health services to help achieve universal health coverage

10.25259/ihopejo_2_2021 ◽

2022 ◽

Vol 1 ◽

pp. 5-8

Author(s):

Jacqueline Ramke ◽

Nyawira Mwangi ◽

Helen Burn ◽

Esmael Habtamu ◽

Clare E Gilbert

Keyword(s):

Information Systems ◽

Universal Health Coverage ◽

Population Based ◽

World Health ◽

Service Access ◽

Health Coverage ◽

Middle Income ◽

Eye Health ◽

Health Organization ◽

Universal Health

In the recent World Report on Vision, the World Health Organization (WHO) highlighted the need to strengthen health information systems (HIS) for eye health, including data from population-based surveys and facility-based sources such as service and resource data. The report also outlined the importance of strengthening eye health to enable Universal Health Coverage. In high-income countries, facility-based data are increasingly used to monitor eye services and answer research questions, including under the banner of big data. While there are some examples of comprehensive and robust information systems for eye care in low- and middle-income countries (LMICs), the potential of facility-based data is yet to be realized in many LMICs. Here, we discuss the potential of strengthening the collection and use of facility-based data for eye health in LMICs to monitor Universal Health Coverage relevant aspects of service access, quality, and equity.

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