title: Sustaining universal health coverage: the interaction of social, political, and economic sustainability.
abstract: The sustainability of health care systems, particularly those supporting universal health care, is a matter of current discussion among policymakers and scholars. In this article, we summarize the controversies around the economic sustainability of health care. We attempt to extend the debate by including a more comprehensive conceptualization of sustainability in relation to health care systems and by examining the dimensions of social and political sustainability. In conclusion, we argue that policymakers when taking decisions around universal health care should carefully consider issues of social, political, and economic sustainability, their interaction, and often their inherent trade-offs.
authors: Department of Policy Analysis and Public Management, Research Center on Health and Social Care Management, CERGAS, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
authors: Elio
authors: E
authors: Borgonovi
authors: Amelia
authors: A
authors: Compagni
mesh_terms: D003657:Decision Making; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D006291:Health Policy / Q000191:economics; D006801:Humans; D011050:Policy Making; D019472:Universal Health Insurance / Q000191:economics / Q000458:organization & administration*