Access won’t guarantee health: the silent gap in universal healthcare coverage

As conversations around Universal Health Coverage (UHC) continue globally, one question remains important: Is access enough?
This article explores the “silent gap” between access, care delivery and actual patient outcomes, particularly within healthcare systems that measure coverage without fully addressing continuity, co-production and patient participation in care.
Originally published through Stellenbosch Business School and later featured by IOL, the article reflects on why sustainable healthcare systems require more than access alone.
Originally published by:
Key themes
Universal Health Coverage
Co-production
Patient-centred care
Healthcare systems
Value-based healthcare
Mental healthcare
Health equity
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