Timothy Evans

World Bank

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Kathryn L. Bilello

University of California, San Francisco

Albert Mulley

Dartmouth Institute for Health Policy and Clinical Practice

Daya Upadhyay

University of California, San Francisco

E. Kashian Lane

Vipul Jain

Wollega University

Agnès Binagwaho

University of Global Health Equity

Michael Peterson

Universidade do Extremo Sul Catarinense

Jose Joseph-Vempilly

Vijay Balasubramanian

California State University, Fresno

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California State University, Fresno

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Harvard Global Health Institute

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Harvard University Press

Madigan Army Medical Center

Walter Reed Army Institute of Research

Uniformed Services University of the Health Sciences

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Meeting the challenges of providing universal health coverage

BMJ (2013)

Albert Mulley Timothy Evans Agnès Binagwaho

New approaches to service delivery must produce greater value for patients Momentum is gathering around efforts to achieve universal health coverage—defined by the World Health Organization as universal access to needed health services without the patient experiencing financial hardship to pay for them.1 2 In December 2012, the United Nations General Assembly unanimously adopted a resolution endorsing universal health coverage and urging governments to provide all people with access to affordable healthcare.3 There is also strong support for making such provision a priority in the post-2015 global development framework that will succeed the millennium development goals.4 These developments are timely, for the health inequalities that leave more than a billion people without access to health services are increasingly recognized as an infringement of human rights and a constraint on the economic growth and social development of nations.5 The risk, however, is that a welcome global endeavor to ensure that more people can realize their right to health may default to a vast global investment in the replication of past mistakes. The improvement in people’s health cannot be achieved by merely expanding and scaling up the healthcare delivery models of today. The 2010 world health report estimated that 20-40% …

Universal Coverage

10.1136/bmj.f6485

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E. Kashian Lane Vijay Balasubramanian Kathryn L. Bilello Timothy Evans Vipul Jain

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