{"id":"https://openalex.org/W7225433600","doi":"https://doi.org/10.1186/s13561-026-00879-w","title":"Do financial technologies contribute to improving universal health coverage? A spatial analysis of WAEMU countries","display_name":"Do financial technologies contribute to improving universal health coverage? A spatial analysis of WAEMU countries","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225433600","doi":"https://doi.org/10.1186/s13561-026-00879-w"},"language":"en","primary_location":{"id":"doi:10.1186/s13561-026-00879-w","doi":"https://doi.org/10.1186/s13561-026-00879-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00879-w","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13561-026-00879-w","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021605720","display_name":"Auguste Konan KOUAKOU","orcid":"https://orcid.org/0000-0002-4486-2046","observed_orcids":["https://orcid.org/0000-0002-4486-2046"]},"institutions":[{"id":"https://openalex.org/I4210131988","display_name":"Universit\u00e9 Jean Lorougnon Gu\u00e9d\u00e9","ror":"https://ror.org/03q1wc761","country_code":"CI","type":"education","lineage":["https://openalex.org/I4210131988"]}],"countries":["CI"],"is_corresponding":false,"raw_author_name":"Auguste Konan Kouakou","raw_affiliation_strings":["Jean Lorougnon Gu\u00e9d\u00e9 University, Daloa, Ivory Coast, C\u00f4te d\u2019Ivoire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jean Lorougnon Gu\u00e9d\u00e9 University, Daloa, Ivory Coast, C\u00f4te d\u2019Ivoire","institution_ids":["https://openalex.org/I4210131988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003331000","display_name":"Alliou Salihini Diarrassouba","orcid":"https://orcid.org/0009-0003-4775-2568","observed_orcids":["https://orcid.org/0009-0003-4775-2568"]},"institutions":[{"id":"https://openalex.org/I4210131988","display_name":"Universit\u00e9 Jean Lorougnon Gu\u00e9d\u00e9","ror":"https://ror.org/03q1wc761","country_code":"CI","type":"education","lineage":["https://openalex.org/I4210131988"]}],"countries":["CI"],"is_corresponding":false,"raw_author_name":"Alliou Salihini Diarrassouba","raw_affiliation_strings":["Jean Lorougnon Gu\u00e9d\u00e9 University, Daloa, Ivory Coast, C\u00f4te d\u2019Ivoire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jean Lorougnon Gu\u00e9d\u00e9 University, Daloa, Ivory Coast, C\u00f4te d\u2019Ivoire","institution_ids":["https://openalex.org/I4210131988"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5118703389","display_name":"Sylvain N\u2019GUESSAN","orcid":"https://orcid.org/0009-0000-7343-1432","observed_orcids":["https://orcid.org/0009-0000-7343-1432"]},"institutions":[{"id":"https://openalex.org/I4210116621","display_name":"\u00c9cole Nationale Sup\u00e9rieure de Statistique et d'\u00c9conomie Appliqu\u00e9e","ror":"https://ror.org/02a54nf13","country_code":"CI","type":"education","lineage":["https://openalex.org/I4210116621"]}],"countries":["CI"],"is_corresponding":true,"raw_author_name":"Sylvain N\u2019Guessan","raw_affiliation_strings":["National School of Statistics and Applied Economics, Abidjan, Ivory Coast, C\u00f4te d\u2019Ivoire"],"raw_orcid":"https://orcid.org/0009-0000-7343-1432","affiliations":[{"raw_affiliation_string":"National School of Statistics and Applied Economics, Abidjan, Ivory Coast, C\u00f4te d\u2019Ivoire","institution_ids":["https://openalex.org/I4210116621"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5118703389"],"corresponding_institution_ids":["https://openalex.org/I4210116621"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4390000104904175,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4390000104904175,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11995","display_name":"FinTech, Crowdfunding, Digital Finance","score":0.15950000286102295,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14416","display_name":"Health, Technology, Consumer Behavior","score":0.11680000275373459,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fintech","display_name":"fintech","score":0.9240000247955322},{"id":"https://openalex.org/keywords/universal-health-coverage","display_name":"universal health coverage","score":0.8560000061988831},{"id":"https://openalex.org/keywords/digital-financial-services","display_name":"digital financial services","score":0.9829999804496765},{"id":"https://openalex.org/keywords/west-african-economic-and-monetary-union","display_name":"West African Economic and Monetary Union","score":0.7179999947547913},{"id":"https://openalex.org/keywords/spatial-spillover-effects","display_name":"spatial spillover effects","score":0.8529999852180481},{"id":"https://openalex.org/keywords/technology-diffusion","display_name":"technology diffusion","score":0.8460000157356262},{"id":"https://openalex.org/keywords/transaction-costs","display_name":"transaction costs","score":0.9419999718666077},{"id":"https://openalex.org/keywords/digital-infrastructure","display_name":"digital infrastructure","score":0.6000000238418579},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.4650000035762787},{"id":"https://openalex.org/keywords/regional-integration","display_name":"regional integration","score":0.5379999876022339},{"id":"https://openalex.org/keywords/fintech-regulation","display_name":"fintech regulation","score":0.6110000014305115}],"concepts":[{"id":"https://openalex.org/C153083717","wikidata":"https://www.wikidata.org/wiki/Q6535263","display_name":"Leverage (statistics)","level":2,"score":0.6025000214576721},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5605999827384949},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.4950999915599823},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4392000138759613},{"id":"https://openalex.org/C121087249","wikidata":"https://www.wikidata.org/wiki/Q546395","display_name":"Emerging markets","level":2,"score":0.39890000224113464},{"id":"https://openalex.org/C55527203","wikidata":"https://www.wikidata.org/wiki/Q334194","display_name":"Spillover effect","level":2,"score":0.3984000086784363},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.38580000400543213},{"id":"https://openalex.org/C97144632","wikidata":"https://www.wikidata.org/wiki/Q7574062","display_name":"Spatial econometrics","level":2,"score":0.384799987077713},{"id":"https://openalex.org/C139043278","wikidata":"https://www.wikidata.org/wiki/Q837171","display_name":"Financial services","level":2,"score":0.38420000672340393},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.35850000381469727},{"id":"https://openalex.org/C98965940","wikidata":"https://www.wikidata.org/wiki/Q877496","display_name":"Transaction cost","level":2,"score":0.3578000068664551},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3504999876022339},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3456999957561493},{"id":"https://openalex.org/C207267971","wikidata":"https://www.wikidata.org/wiki/Q120208","display_name":"Emerging technologies","level":2,"score":0.34369999170303345},{"id":"https://openalex.org/C75949130","wikidata":"https://www.wikidata.org/wiki/Q848010","display_name":"Database transaction","level":2,"score":0.3321000039577484},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.31690001487731934},{"id":"https://openalex.org/C21333345","wikidata":"https://www.wikidata.org/wiki/Q1519843","display_name":"Health technology","level":3,"score":0.31279999017715454},{"id":"https://openalex.org/C159620131","wikidata":"https://www.wikidata.org/wiki/Q1938983","display_name":"Spatial analysis","level":2,"score":0.30390000343322754},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.30300000309944153},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2890999913215637},{"id":"https://openalex.org/C178283979","wikidata":"https://www.wikidata.org/wiki/Q274490","display_name":"Public finance","level":2,"score":0.2816999852657318},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C80515813","wikidata":"https://www.wikidata.org/wiki/Q1134763","display_name":"Corporate finance","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.27810001373291016},{"id":"https://openalex.org/C2780615719","wikidata":"https://www.wikidata.org/wiki/Q5449723","display_name":"Financial integration","level":3,"score":0.272599995136261},{"id":"https://openalex.org/C540431452","wikidata":"https://www.wikidata.org/wiki/Q16319025","display_name":"FinTech","level":3,"score":0.257099986076355},{"id":"https://openalex.org/C137996800","wikidata":"https://www.wikidata.org/wiki/Q762702","display_name":"Technological change","level":2,"score":0.2538999915122986}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s13561-026-00879-w","doi":"https://doi.org/10.1186/s13561-026-00879-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00879-w","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s13561-026-00879-w","doi":"https://doi.org/10.1186/s13561-026-00879-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00879-w","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.7390999794006348,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.651199996471405,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"},{"score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5217000246047974,"id":"https://metadata.un.org/sdg/17","display_name":"Partnerships for the goals"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7134172487","https://openalex.org/W4400139961","https://openalex.org/W6964858078","https://openalex.org/W2895984367","https://openalex.org/W7221137273","https://openalex.org/W4409687895","https://openalex.org/W6943830712","https://openalex.org/W3172582058","https://openalex.org/W4416680478","https://openalex.org/W4413864760"],"abstract_inverted_index":{"Abstract":[0],"Context":[1],"In":[2],"developing":[3],"countries,":[4],"digital":[5,140,149],"financial":[6,30,165],"services":[7,141],"are":[8,118],"emerging":[9,174],"as":[10],"essential":[11],"levers":[12],"for":[13,142,170],"addressing":[14],"low":[15],"health":[16,35,100],"coverage":[17,36,101],"and":[18,48,61,74,105,113,122,133,151],"regional":[19,162],"disparities.":[20],"This":[21,161],"study":[22,44],"analyzes":[23],"the":[24,27,39,56,59,62,153],"contribution":[25],"of":[26,29,116,155,164],"adoption":[28,127],"technologies":[31,166],"(Fintech)":[32,93],"to":[33,53,71],"universal":[34,99],"(UHC)":[37],"in":[38,173],"WAEMU":[40,145],"zone.":[41],"Methods":[42],"The":[43,87,109],"uses":[45],"spatial":[46,65,76,84,96,135],"econometrics":[47],"examines":[49],"data":[50],"from":[51,55],"2011":[52],"2021":[54],"World":[57],"Bank,":[58],"BCEAO,":[60],"WHO.":[63],"A":[64],"Durbin":[66],"model":[67,169],"(SDM)":[68],"was":[69],"used":[70],"capture":[72],"direct":[73],"indirect":[75,112],"spillover":[77],"effects":[78,115],"between":[79],"member":[80],"countries":[81],"after":[82],"detecting":[83],"autocorrelation.":[85],"Results":[86],"results":[88],"show":[89],"that":[90,125],"Financial":[91],"Technology":[92],"has":[94],"significant":[95],"effects,":[97],"strengthening":[98],"through":[102,157],"technology":[103],"diffusion":[104],"reduced":[106],"transaction":[107],"costs.":[108],"estimated":[110],"direct,":[111],"total":[114],"Fintech":[117,126],"respectively":[119],"0.022,":[120],"0.011":[121],"0.033,":[123],"suggesting":[124],"is":[128],"associated":[129],"with":[130],"both":[131],"within-country":[132],"cross-border":[134],"effects.":[136],"Conclusions":[137],"To":[138],"leverage":[139],"healthcare":[143,172],"development,":[144],"authorities":[146],"must":[147],"prioritize":[148],"infrastructure":[150],"strengthen":[152],"quality":[154],"institutions":[156],"robust":[158],"regulatory":[159],"frameworks.":[160],"integration":[163],"represents":[167],"a":[168],"improving":[171],"markets,":[175],"driven":[176],"by":[177],"globalization.":[178]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}