How a universal health system reduces inequalities: lessons from England

by Miqdad Asaria, Shehzad Ali, Tim Doran et al.
J Epidemiol Community Health 2016;70:637-643 – Published Online 19 January 2016

7 pp. 586 kB

Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. The authors provide the first comprehensive assessment of trends in socioeconomic inequalities of primary care access, quality and outcomes during this period.

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