Match!

Priority-setting for achieving universal health coverage.

Published on Jun 1, 2016in Bulletin of The World Health Organization6.818
· DOI :10.2471/BLT.15.155721
Kalipso Chalkidou8
Estimated H-index: 8
,
Amanda Glassman19
Estimated H-index: 19
+ 8 AuthorsAnthony J. Culyer41
Estimated H-index: 41
Sources
Abstract
Governments in low- and middle-income countries are legitimizing the implementation of universal health coverage (UHC), following a United Nation’s resolution on UHC in 2012 and its reinforcement in the sustainable development goals set in 2015. UHC will differ in each country depending on country contexts and needs, as well as demand and supply in health care. Therefore, fundamental issues such as objectives, users and cost–effectiveness of UHC have been raised by policy-makers and stakeholders. While priority-setting is done on a daily basis by health authorities – implicitly or explicitly – it has not been made clear how priority-setting for UHC should be conducted. We provide justification for explicit health priority-setting and guidance to countries on how to set priorities for UHC.
  • References (8)
  • Citations (31)
📖 Papers frequently viewed together
44 Citations
43 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References8
Newest
#1Amanda Glassman (CGD: Center for Global Development)H-Index: 19
#2Ursula Giedion (BID: Inter-American Development Bank)H-Index: 11
Last. Peter C. Smith (Imperial College London)H-Index: 58
view all 4 authors...
Abstract—There is immense interest worldwide in the notion of universal health coverage (UHC). A major policy focus in moving toward UHC has been on the key policy question: what services should be made available and under what conditions? In this article we are concerned with how a feasible set of UHC services can be explicitly defined to create what is commonly known as a “health benefits package” (HBP), a set of services that can be feasibly financed and provided under the actual circumstance...
20 CitationsSource
#1Adam Wag (World Bank)H-Index: 63
#2Caryn Bredenkamp (World Bank)H-Index: 11
Last. Leander R. Buisman (EUR: Erasmus University Rotterdam)H-Index: 9
view all 3 authors...
This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster Surveys, spanning 64 developing countries over the period 1990-2011. Five health status indicators and seven intervention indicators are tracked for all the health Millennium Development Goals. In most countries, the poorest 40 percent have made faster...
9 CitationsSource
#1Yot Teerawattananon (Health Intervention and Technology Assessment Program)H-Index: 29
#2Nattha Tritasavit (Health Intervention and Technology Assessment Program)H-Index: 6
Last. Pritaporn Kingkaew (Health Intervention and Technology Assessment Program)H-Index: 6
view all 4 authors...
Summary Medicines expenditure consumes a significant proportion of public health expenditure in Thailand, where Universal Health Coverage has been in place since 2002. The National List of Essential Medicines has been successfully used as a pharmaceutical benefits package for all public health plans. All patients are eligible for all medicines included in the list free of charge by law. Health economic evaluation has been employed as a tool for the development of this list, including price negot...
33 CitationsSource
#1Yot Teerawattananon (Health Intervention and Technology Assessment Program)H-Index: 29
#2Kate McQueston (CGD: Center for Global Development)H-Index: 6
Last. Chaw Yin Myint (CGD: Center for Global Development)H-Index: 1
view all 5 authors...
The Global Fund is experiencing increased pressure to optimize results and improve its impact per dollar spent. It is also in transition from a provider of emergency funding, to a long-term, sustainable financing mechanism. This paper assesses the efficacy of current Global Fund investment and examines how health technology assessments (HTAs) can be used to provide guidance on the relative priority of health interventions currently subsidized by the Global Fund. In addition, this paper identifie...
9 CitationsSource
#1Corinna Sorenson (LSE: London School of Economics and Political Science)H-Index: 14
#2Michael DrummondH-Index: 72
Last. Bhuiyan Khan BH-Index: 1
view all 3 authors...
Health care spending has risen steadily in most countries, becoming a concern for decision-makers worldwide. Commentators often point to new medical technology as the key driver for burgeoning expenditures. This paper critically appraises this conjecture, based on an analysis of the existing literature, with the aim of offering a more detailed and considered analysis of this relationship. Several databases were searched to identify relevant literature. Various categories of studies (eg, multivar...
54 CitationsSource
#1Sitaporn Youngkong (Health Intervention and Technology Assessment Program)H-Index: 8
#2Rob Baltussen (Radboud University Nijmegen Medical Centre)H-Index: 40
Last. Yot Teerawattananon (Health Intervention and Technology Assessment Program)H-Index: 29
view all 5 authors...
Objectives: Considering rising health expenditure on the one hand and increasing public expectations on the other hand, there is a need for explicit health care rationing to secure public acceptance of coverage decisions of health interventions. The National Health Security Office, the institute managing the Universal Coverage Scheme in Thailand, recently called for more rational, transparent, and fair decisions on the public reimbursement of health interventions. This article describes the appl...
61 CitationsSource
#1Jeffrey D. Sachs (Columbia University)H-Index: 104
1Mother hood and childhood are to be aff orded special care and assistance. In the same year, the Constitution of the World Health Organization came into force, declaring that “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” 2 There are two related motivations for the commitment to universal health coverage. The fi rst is that every individual h...
61 CitationsSource
#1Sarah Clark (UCL: University College London)H-Index: 4
#2Albert Weale (UCL: University College London)H-Index: 21
Purpose – It is commonly recognized that the setting of health priorities requires value judgements and that these judgements are social. Justifying social value judgements is an important element in any public justification of how priorities are set. The purpose of this paper is to review a number of social values relating both to the process and content of priority‐setting decisions.Design/methodology/approach – A set of key process and content values basic to health priority setting is outlin...
70 CitationsSource
Cited By31
Newest
#1Ad PanzerH-Index: 1
#2Joanna EmersonH-Index: 1
Last. David D. KimH-Index: 11
view all 10 authors...
Source
#1Samantha A. Hollingworth (UQ: University of Queensland)H-Index: 18
#2Francis Ruiz (Imperial College London)H-Index: 8
Last. Kalipso Chalkidou (Imperial College London)H-Index: 21
view all 4 authors...
Background: Health technology assessment (HTA) is an effective tool to support priority setting (PS) in health. Stakeholder groups need to understand HTA appropriate to their role and to interpret and critique the evidence produced. We aimed to rapidly assess current health system priorities and policy areas of demand for HTA in Sub-Saharan Africa, and identify key gaps in data and skills to inform targeted capacity building. Methods: We revised an existing survey, delivered it to 357 participan...
Source
#1Samantha A. Hollingworth (UQ: University of Queensland)H-Index: 18
#2Laura Downey (Imperial College London)H-Index: 3
Last. Kalipso Chalkidou (Imperial College London)H-Index: 21
view all 8 authors...
BACKGROUND: Evidence-based decision-making for prioritising health is assisted by health technology assessment (HTA) to integrate data on effectiveness, costs and equity to support transparent decisions. Ghana is moving towards universal health coverage, facilitated mainly by the National Health Insurance Scheme (NHIS) established in 2003. The Government of Ghana is committed to institutionalising HTA for priority-setting. We aimed to identify and describe the sources of accessible data to suppo...
1 CitationsSource
#1Tessa Oraro-Lawrence (University of Basel)
#2Kaspar Wyss (University of Basel)H-Index: 21
BACKGROUND: Competing priorities in health systems necessitate difficult choices on which health actions and investments to fund: decisions that are complex, value-based, and highly political. In light of the centrality of universal health coverage (UHC) in driving current health policy, we sought to examine the value interests that influence agenda setting in the country's health financing space. Given the plurality of Kenya's health policy levers, we aimed to examine how the perspectives of st...
Source
#1Veena Sriram (U of C: University of Chicago)H-Index: 1
#2Sara C Bennett (Johns Hopkins University)H-Index: 32
The availability of medical specialists has accelerated in low-income and middle-income countries (LMICs), driven by factors including epidemiological and demographic shifts, doctors’ preferences for postgraduate training, income growth and medical tourism. Yet, despite some policy efforts to increase access to specialists in rural health facilities and improve referral systems, many policy questions are still underaddressed or unaddressed in LMIC health sectors, including in the context of univ...
Source
#1Ashley A. LeechH-Index: 3
#2David D. Kim (Tufts Medical Center)H-Index: 11
Last. Peter J. Neumann (Tufts Medical Center)H-Index: 81
view all 4 authors...
Introduction Since resources are finite, investing in services that produce the highest health gain ‘return on investment’ is critical. We assessed the extent to which low and middle-income countries (LMIC) have included cost-saving interventions in their national strategic health plans. Methods We used the Tufts Medical Center Global Health Cost-Effectiveness Analysis Registry, an open-source database of English-language cost-per-disability-adjusted life year (DALY) studies, to identify analyse...
Source
Ghana is one of the few African countries to enact legislation and earmark significant funding to establish universal health coverage (UHC) through the National Health Insurance Scheme, although donor funds have declined recently. Given a disproportionate level of spending on medicines, health technology assessment (HTA) can support resource allocation decisions in the face of highly constrained budgets, as commonly found in low-resource settings. The Ghanaian Ministry of Health, supported by th...
4 CitationsSource
#1Veronika J. WirtzH-Index: 16
#2Wirtz Veronika J (BU: Boston University)
Last. Reich Michael R (Harvard University)
view all 44 authors...
Source
Background Evidence-informed deliberative processes (EDPs) were recently introduced to guide health technology assessment (HTA) agencies to improve their processes towards more legitimate decision-making. The EDP framework provides guidance that covers the HTA process, ie, contextual factors, installation of an appraisal committee, selecting health technologies and criteria, assessment, appraisal, and communication and appeal. The aims of this study were to identify the level of use of EDPs by H...
Source
#1Diana Sarfati (University of Otago)H-Index: 23
#2Rachel Dyer (University of Otago)H-Index: 2
Last. James HospedalesH-Index: 1
view all 15 authors...
Summary Cancer is a leading cause of death in small island nations and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of these nations face daunting challenges, including small and fragile economies, unequal distribution of resources, weak or fragmented health services, small population sizes that make sustainable workforce and service development problematic, and the unavailability of specialised cancer services to large parts of...
Source