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Has Latin America achieved universal health coverage yet? Lessons from four countries by Ramiro E. Gilardino; Pilar Valanzasca; Susan B. Rifkin is a Medicine article available to read on EtoBox.

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## Abstract ## Background Seven years after the commitment to United Nations’ call for Universal Health Coverage, healthcare services in Argentina, Brazil, Colombia, Mexico are generally accessible and affordable; but they still struggle to meet population health demands and address the rising health care costs. We aim to describe measures taken by these four countries to commit by Universal Health Coverage, addressing their barriers and challenges. ## Methods Scoping literature review, supplemented with targeted stakeholders survey. ## Results The four countries analysed achieved an overall index of essential coverage of 76–77%, and households out of pocket health expenditures fall below 25%. Services coverage was improved by expanding access to primary healthcare systems and coverage for non-communicable diseases, while provided community outreach by the increase in the number of skilled healthcare workers. New pharmaceutical support programs provided access to treatments for chronic conditions at zero cost, while high-costs drugs and cancer treatments were partially guaranteed. However, the countries lack with effective financial protection mechanisms, that continue to increase

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Author
Ramiro E. Gilardino; Pilar Valanzasca; Susan B. Rifkin
Publisher
Springer Science and Business Media LLC
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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