Journal article

Comparative health system performance in six middle-income countries: cross-sectional analysis using World Health Organization study of global ageing and health

Riyadh Alshamsan, John Tayu Lee, Sangeeta Rana, Hasan Areabi, Christopher Millett

Journal of the Royal Society of Medicine | SAGE PUBLICATIONS LTD | Published : 2017


Objective To assess and compare health system performance across six middle-income countries that are strengthening their health systems in pursuit of universal health coverage. Design Cross-sectional analysis from the World Health Organization Study on global AGEing and adult health, collected between 2007 and 2010. Setting Six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. Participants Nationally representative sample of adults aged 50 years and older. Main outcome measures We present achievement against key indicators of health system performance across effectiveness, cost, access, patient-centredness and equity domains. Results We found areas of poor perfo..

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Awarded by US National Institute on Aging (NIA)


Funding Acknowledgements

CM is funded by an NIHR Research Professorship award and his work in India is supported by a Wellcome Trust Capacity Strengthening Strategic Award. The funding sources had no role in the design of the study, analysis, interpretation of the results or writing of the manuscript. SAGE is supported by World Health Organization, the US National Institute on Aging (NIA) through Interagency Agreements (OGHA 04034785; YA1323-08-CN-0020; Y1-AG-1005-01) and Grants (R01-AG034479; R21-AG034263-0182), and with financial or in-kind support from governments and/or instituting agencies in each participating country.