Abstract
High-quality health systems in the Sustainable Development Goals era: time for a revolution.
Highlights
The past 20 years have been called a golden age for global health.[1]
High-quality health systems should be informed by four values: they are for people, and they are equitable, resilient, and efficient. For this Commission, we examined the literature, analysed surveys, and did qualitative and quantitative research to evaluate the quality of care available to people in low-income and middle-income countries (LMICs) across a range of health needs included in the Sustainable Development Goals (SDGs)
We review evidence of past approaches and look for strategies that can change the trajectory of health systems in LMICs
Summary
Health outcomes have improved in low-income and middle-income countries (LMICs) in the past several decades, a new reality is at hand. High-quality health systems should be informed by four values: they are for people, and they are equitable, resilient, and efficient For this Commission, we examined the literature, analysed surveys, and did qualitative and quantitative research to evaluate the quality of care available to people in LMICs across a range of health needs included in the Sustainable Development Goals (SDGs). New research is crucial for the transformation of low-quality health systems to high-quality ones Data on care quality in LMICs do not reflect the current disease burden In many of these countries, we know little about quality of care for respiratory diseases, cancer, mental health, injuries, and surgery, as well as the care of adolescents and elderly people. Countries will know that they are on the way towards a high-quality, accountable health system when health workers and policymakers choose to receive health care in their own public institutions
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