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Health Policy Performance in 16 Caribbean States, 2010–2015.

  • Autores: Soraya P. A. Verstraeten, Hans A. M. van Oers, Johan P. Mackenbach
  • Localización: American journal of public health, ISSN 0090-0036, Vol. 109, Nº. 4, 2019, págs. 626-632
  • Idioma: inglés
  • Texto completo no disponible (Saber más ...)
  • Resumen
    • Objectives. To determine whether Caribbean states vary in health policy performance in 11 different areas; to explore the association with sociodemographic, economical, and governance determinants; and to estimate the potential health gains of "best-practice" health policies. Methods. We selected 50 indicators that included data on mortality (latest available, 2010–2015), intermediate outcomes, and policy implementation to calculate a state's health policy performance score. We related this score to country characteristics and calculated the potential number of avoidable deaths if the age-specific mortality rates of best-performer Martinique applied in all states. Results. We found large differences in health policy performance among Caribbean states. Martinique, Cuba, and Guadeloupe had the highest performance scores, and Guyana, Belize, and Suriname the lowest. Political affiliation, religious fractionalization, corruption, national income, and population density were associated with health policy performance. If the mortality rates of Martinique applied to all Caribbean states, an overall mortality reduction of 12% would be achieved. Conclusions. Differences in health outcomes between Caribbean states are partly attributable to variations in health policy implementation. Our results suggest that many deaths can be prevented if Caribbean governments adopt best-practice policies. [ABSTRACT FROM AUTHOR] not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)


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