The Economic Consequences Of Mortality Amenable To High-Quality Health Care In Low- And Middle-Income Countries

被引:43
作者
Alkire, Blake C. [1 ,2 ]
Peters, Alexander W. [1 ,3 ,4 ]
Shrime, Mark G. [1 ,2 ,5 ]
Meara, John G. [1 ,3 ,6 ]
机构
[1] Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA
[2] Massachusetts Eye & Ear Infirm, Otolaryngol, Boston, MA 02114 USA
[3] Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA 02115 USA
[4] NewYork Presbyterian Weill Cornell Med Ctr, Surg, New York, NY 10065 USA
[5] Harvard Med Sch, Global Hlth & Social Med, Boston, MA 02115 USA
[6] Harvard Med Sch, Global Surg, Boston, MA 02115 USA
关键词
GLOBAL BURDEN; SYSTEMATIC ANALYSIS; DISEASE; TRENDS; INEQUALITIES; LIFE;
D O I
10.1377/hlthaff.2017.1233
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We estimated deaths amenable to high-quality health care globally and then modeled the macroeconomic impact in low-and middle-income countries using two macroeconomic perspectives: a value-of-lost-output approach to project gross domestic product (GDP) losses annually for the period 2015-30, and a value-of-lost-welfare approach to estimate the present value of total economic welfare losses in 2015. We estimated that eight million amenable deaths occurred in 2015, 96 percent of them in low-and middle-income countries. The value of lost output resulted in a projected cumulative loss of $11.2 trillion in these countries during 2015-30, with a potential economic output loss of up to 2.6 percent of GDP in low-income countries by 2030, compared to 0.9 percent in upper-middle-income countries. The value-of-lost-welfare approach estimated welfare losses of $6.0 trillion in 2015. Inadequate access to high-quality health care results in significant mortality and imposes a macroeconomic burden that is inequitably distributed, with the largest relative burden falling on low-income countries. Given that these deaths are unnecessary and the projected GDP losses are avoidable, there is a strong ethical and economic case for promoting high-quality health care as an essential component of universal health coverage.
引用
收藏
页码:988 / 996
页数:9
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