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Miranda Montoya

Engl 1302-228

Professor Briones

January 29, 2024

Healthcare Systems Worldwide: An Annotated Bibliography

Abbas, Kaja M et al. “Healthcare Access and Quality Index Based on Mortality from Causes

Amenable to Personal Health Care in 195 Countries and Territories, 1990–2015: A Novel

Analysis from the Global Burden of Disease Study 2015.” The Lancet (British edition)

390.10091 (2017): 231–266. Web.

In this article, the authors discuss a study that measures the quality of healthcare and its

accessibility in different countries around the world. The researchers used various factors, such

as causes of mortality that should be preventable with adequate medical care, to evaluate the

performance of healthcare systems. By using data from the Global Burden of Diseases, Injury,

and Risk Factors Study (GBD), they mappped a list of the impact of healthcare on 32 causes

identified by the GBD. The study suggests that there is improvement to come in healthcare

access and quality worldwide. Even with progress, some parts of the world and specific countries

continue to struggle to consistently provide the best possible healthcare across various cultures.

In essence, the research emphasizes the importance of ongoing efforts to improve healthcare

systems worldwide. The focus should be on tackling inequalities and enhancing access to

high-quality healthcare.

Daabek, Najeh et al. “Why People Forgo Healthcare in France: A National Survey of 164 092

Individuals to Inform Healthcare Policy-Makers.” International journal of health policy

and management 11.12 (2022): 2972–2981. Web.

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The article states that some countries that have a universal healthcare provisions are often

ignored by its citizens. Economic and geographic inequalities can cause some barriers to

accessing healthcare. Some factors include the need to pay at the point of care, and the cost of

health insurance can discourage individuals from seeking necessary healthcare, ultimately

impacting the overall health of the population. Researchers used a survey conducted between

2015 and 2018 in France to estimate the rate of forgoing healthcare in the general population.

Participant were asked whether they had healthcare, what types of healthcare they avoided, and

what was the reason behind their decision. This helped provide insight into healthcare avoidance

in a developed country, emphasizing the need for review by the policymakers regarding

payments, insurance coverage, and healthcare availability and accessibility.

Damaske, Sarah. “Gender, Family, and Healthcare during Unemployment: Healthcare Seeking,

Healthcare Work, and Self‐sacrifice.” Journal of marriage and family 84.1 (2022):

291–309. Web.

This article claims to explore how healthcare may change over time during a period of

unemployment. The research uses data from 100 in-depth interviews conducted with

unemployed men and women from 2013 to 2015. Results show that many women tended to stop

seeking healthcare for themselves. Some men rejected obligations to provide healthcare

insurance for their families. A majority of the women discussed prioritizing family

considerations while making healthcare decisions. The study shows that gender norms about

family responsibilities extend to healthcare-seeking behaviors and family healthcare work. This

emphasizes that these men's obligations are influenced by social class and evolve over time,

especially in providing health insurance for their families.

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Handtke, Oriana, Benjamin Schilgen, and Mike Mösko. “Culturally Competent Healthcare - A

Scoping Review of Strategies Implemented in Healthcare Organizations and a Model of

Culturally Competent Healthcare Provision.” PloS one 14.7 (2019): e0219971–e0219971.

Web.

This article takes a look at the difficulties people from different cultures and languages face in

healthcare services, difficulties such as language barriers or differences in health benefits. The

article adds to this issue by expressing that they want to make healthcare more accessible for

everyone. They did a detailed investigation that aims to gather information about different

strategies that have been tested and proven effective in making healthcare more culturally

competent. Once they collected the information, they organized a plan that would outline the best

way to provide healthcare that provides for all different cultures and patients.

Kanmiki, Edmund W. et al. “Equity in Maternal Healthcare Utilisation in Ghana: Do

Community‐based Primary Health Care Programmes Matter?” Tropical medicine &

international health 28.5 (2023): 409–418. Web.

In this article, the author's goal was to enhance fairness in the use of maternal health services in

rural and remote areas. The research investigates the impact of a community-based program

called the Ghana Essential Health Interventions Program (GEHIP). They data was taken from

surveys conducted before and after the program in intervention and were analyzed. Results

indicated that coverage rates for maternal health services increased in both intervention and

comparison districts. Although efforts to enhance community-based healthcare access have

positively influenced the coverage of maternal health services, the impact on improving equity in

coverage is varied. This suggests a need to extend community-based primary healthcare beyond

general access to ensure coverage of maternal and child health services provided.
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López García, Ana Isabel, and Pedro P. Orraca-Romano. “International Migration and Universal

Healthcare Access: Evidence from Mexico’s ‘Seguro Popular.’” Oxford Development

Studies 47.2 (2019): 171–187. Web.

This study looked at the healthcare program in Mexico called Seguro Popular. This program

started in 2001 and was designed for people without health insurance. In 2000, 50% of Mexico's

population was uninsured, but in 2015, nearly 45% of the citizens were affiliated with the

healthcare program. Mexico continues to be the country with the highest out-of-pocket spending

on healthcare and the lowest levels of public spending.

Nakovics, Meike Irene et al. “Determinants of Healthcare Seeking and Out-of-Pocket

Expenditures in a ‘Free’ Healthcare System: Evidence from Rural Malawi.” Health

economics review 10.1 (2020): 14–14. Web.

This study looks at the cost of Malawi's out-of-pocket expenditure (OOPE). By monitoring its

financial protection, it achieves universal health coverage, which is able to grant free access to

care. The researchers used data from two surveys conducted in 2012 and 2013. They are

focusing on OOPE, which could only be observed for those who had sought care initially. The

researchers finding indicate that offering free healthcare services is not sufficient to guarantee

widespread financial coverage. The country would need to require the protection of vulnerable

population groups. In all, it emphasizes the need for a more comprehensive approach to address

the factors of OOPE, even if healthcare services are intended to be free.

Rydland, Håvard T et al. “Educational Inequalities in Mortality Amenable to Healthcare. A

Comparison of European Healthcare Systems.” PloS one 15.7 (2020):

e0234135–e0234135. Web.
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In this article, Rydland argues that the healthcare system is directly linked to mortality

susceptible to healthcare among many European countries and different types of healthcare

systems. The researchers studied data on mortality susceptible to healthcare for 21 European

populations. They focused on ages 35-79, spanning from 1998 to 2006. The tests they analyzed

were to understand between country differences and whether some healthcare system types

exhibit higher inequalities. As a result, the low supply and low-performance mixed healthcare

system had the highest inequality for both males and females. The regulation-oriented public

healthcare systems showed the overall lowest inequalities. The article discussed potential

mechanisms connecting healthcare systems, social position, and health. This suggests that future

research should examine the role of specific characteristics of healthcare systems in greater

detail.

Sinclair, Shane et al. “What Are Healthcare Providers’ Understandings and Experiences of

Compassion? The Healthcare Compassion Model: A Grounded Theory Study of

Healthcare Providers in Canada.” BMJ open 8.3 (2018): e019701–e019701. Web.

This article focuses on understanding the concept of compassion in healthcare from the

perspective of healthcare providers. The researchers did this by collecting data through focus

groups involving frontline healthcare providers and interviews with providers nominated to have

great compassionate care. They chose 57 healthcare providers recruited from urban and rural

care services in Canada. The results show the various dimensions of compassion and understand

how healthcare providers perceive and deliver compassionate care. This can help guide clinical

practices and aim to improve compassion in healthcare.

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Young, Richard A. “What Do We Mean, ‘Necessary’?—Achieving Balance and Recognizing

Limits in Primary Healthcare and Universal Healthcare.” Journal of Evaluation in

Clinical Practice 28.2 (2022): 341–344. Web.

Young starts this article by stating that humans make the choices. He then explains that we all

agree that healthcare should strive to improve the negatives in our health, but as we all know,

that can never be possible. The article turns into how the different countries in the world are

taking action to lower care costs while still being able to maintain the acceptable care needed.

For example, the United States had Obamacare and health savings accounts. Britain's national

health service stopped approving the use of expensive cancer drugs. Sweden's general

practitioners do not promote primary prevention of heart disease medications like Britain. The

author understands that healthcare cannot improve unless thethere's a a balance between the

patients and the system's needs.