Global Health Economics : : Shaping Health Policy In Low- And Middle-income Countries.
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Superior document: | World Scientific Series In Global Health Economics And Public Policy ; v.5 |
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TeilnehmendeR: | |
Place / Publishing House: | Singapore : : World Scientific Publishing Company,, 2020. ©2020. |
Year of Publication: | 2020 |
Edition: | 1st ed. |
Language: | English |
Series: | World Scientific Series In Global Health Economics And Public Policy
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Online Access: | |
Physical Description: | 1 online resource (378 pages) |
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Table of Contents:
- Intro
- Contents
- About the Editors
- About the Contributors
- Foreword
- Preface
- 1. Background
- 2. Objectives
- 3. Organization of the Book
- Acknowledgments
- 1. Funding Acknowledgments
- Editorial - Global Health Economics Research and Policymaking: A Perspective from a Global Health Think Tank
- References
- Part 1 Health Care Provision and Health
- Chapter 1 Assessing the Impact of Health Care Expenditures on Mortality Using Cross-Country Data
- 1. Introduction
- 2. Methods
- 2.1. BGG model
- 2.2. MSS model
- 2.3. A hybrid model
- 2.3.1. Data structure
- 2.3.2. Outcome variables
- 2.3.3. Health care expenditure
- 2.3.4. Instrumental variables
- 2.3.5. Covariates
- 3. Data
- 3.1. Data imputation
- 4. Results
- 4.1. Replication results
- 4.1.1. Replication of BGG
- 4.1.2. Sensitivity checks
- 4.1.3. Replication of MSS
- 4.1.4. Sensitivity checks
- 4.2. Hybrid model analysis
- 4.2.1. Hybrid model analysis BGG: The "traditional IV approach"
- 4.2.2. Sensitivity checks
- 4.2.3. Streamlined model analysis MSS: The "Brückner IV approach"
- 4.2.4. Sensitivity checks
- 4.3. Specification and robustness checks
- 5. Discussion
- 5.1. Data limitations
- 5.2. Methodological limitations
- 5.3. Policy implications
- 5.4. Implications for future research
- Acknowledgments
- References
- Part 2 Economic Evaluation
- Chapter 2 Allocating Scarce Resources - Tools for Priority Setting
- 1. Introduction
- 2. Understanding Available Priority Setting Tools for Use in LMICs
- 2.1. Review of priority setting tools
- 2.1.1. Cost-benefit analysis
- 2.1.2. Cost-effectiveness analysis
- 2.1.3. Generalized cost-effectiveness analysis
- 2.1.4. Extended cost-effectiveness analysis
- 2.1.5. Multicriteria decision analysis
- 2.1.6. Mathematical programming
- 3. Discussion
- References.
- Chapter 3 Cost-Effectiveness Thresholds: Guiding Health Care Spending for Population Health Improvement
- Summary
- 1. Part 1: Introduction
- 2. Part 2. Deciding When to Invest in Health Care Interventions - A Guide for Policymakers
- 2.1. Who is this guide for?
- 2.2. What is the challenge facing policymakers and budget holders?
- 2.3. What assessments are required when choosing a cost-effectiveness threshold for use within a jurisdiction or by an organization?
- 2.4. Contrasting demand-side and supply-side estimates of CETs
- 2.5. What estimates of suitable thresholds for particular jurisdictions or organizations are available?
- 2.6. What CETs should be used if interventions draw upon resources not generally available for use across the whole health sector?
- 2.7. Are there other judgements, in addition to supply-side-based CETs, that are required when deciding whether to invest in particular interventions?
- 3. Part 3: Informing Health Care Investment Decisions - A Guide for Analysts
- 3.1. Who is this guide for?
- 3.2. What types of decisions does this guide inform?
- 3.3. The important distinction between "demand-side" and "supply-side" CETs
- 3.4. What "demand-side" CETs exist and have been used?
- 3.4.1. 50k and £30k per QALY CETs
- 3.4.2. CETs 1-3 times GDP per capita in a country
- 3.4.3. Stated preferences: Social value of a QALY studies
- 3.4.4. Revealed preferences: The value of a statistical life studies
- 3.5. What "supply-side" thresholds exist and can be used?
- 3.5.1. Claxton et al. (2015a)
- 3.5.2. Woods et al. (2015, 2016)
- 3.5.3. Ochalek et al. (2018)
- 4. Part 4. A Summary of the Evidence on Supply-Side Cost-Effectiveness Thresholds
- References
- Chapter 4 Fairer Decisions, Better Health for All: Health Equity and Cost-Effectiveness Analysis
- 1. Introduction
- 2. Concepts.
- 2.1. Cost-effectiveness analysis
- 2.2. Health equity
- 2.3. Accounting for the social distribution of opportunity costs
- 2.4. Trade-offs between total health and health equity
- 2.5. Measuring health equity impacts
- 2.6. Quantifying health equity trade-offs
- 3. Different Approaches to Equity-Informative CEA
- 3.1. Equity evidence review
- 3.2. Equity impact analysis
- 3.3. Equity trade-off analysis
- 3.3.1 Equity constraint analysis
- 3.3.2. Equity weighting analysis
- 4. Conclusion
- Acknowledgments
- References
- Chapter 5 Economic Evaluation of Social Care and Informal Care Interventions in Low- and Middle-Income Countries
- 1. Introduction
- 2. Methods
- 2.1. Study sample
- 2.2. Survey design
- 2.3. Survey implementation
- 2.4. Case studies
- 2.5. Definition of social care interventions and informal care
- 3. Results
- 3.1. Availability of official HTA and PES guidelines by national income category (n = 20)
- 3.2. Health outcome measures preferred by countries with official HTA and PES guidelines (n = 8)
- 3.3. Use of informal care in official guidelines
- 3.4. Interventions evaluated using economic evaluation
- 4. Case Studies
- 5. Discussion
- Acknowledgments
- References
- Part 3 Health System Issues
- Chapter 6 Paying for Performance for Health Care in Low- and Middle-Income Countries: An Economic Perspective
- 1. Introduction
- 2. P4P from an Economic Perspective
- 2.1. Delegation and conditionality
- 2.2. The design of P4P schemes
- 2.2.1. Linear versus nonlinear incentive schemes
- 2.2.2. Budget neutrality
- 2.2.3. Sticks or carrots?
- 2.3. Unintended consequences
- 2.3.1. Multitasking
- 2.3.2. Gaming
- 2.3.3. Selection or cherry-picking
- 2.3.4. Equity concerns
- 2.3.5. Crowding out
- 3. P4P Programme Evidence in LMIC
- 3.1. Programme characteristics.
- 3.2. Have they worked? Evidence from evaluated P4P programmes
- 4. Conclusion
- Acknowledgments
- References
- Chapter 7 Public Financial Management and Health Service Delivery: A Literature Review
- 1. Introduction
- 2. Methods
- 3. Results
- 3.1. PFM system quality
- 3.2. Quality of governance
- 3.3. Impact of PFM reforms
- 3.3.1. Impact of PFM reforms: Medium-term-expenditure frameworks
- 3.3.2. Impact of PFM reforms: Fiscal and budget transparency
- 3.3.3. Impact of PFM reforms: Participatory budgeting and community scorecards
- 3.4. Fiscal decentralization
- 3.5. Other PFM reforms
- 3.5.1. Impact of donor-related reforms
- 3.6. Reviewing the identified hypotheses
- 3.7. Summary of the evidence
- 4. Discussion
- 5. Conclusion
- Acknowledgments
- References
- Chapter 8 Demand-Side Financing in Health in Low-Resource Settings
- 1. Introduction
- 1.1. DSF in Nepal 1 barriers to maternal services and the need for DSF in Nepal
- 2. Demand-Side Financing Mechanisms
- 2.1. DSF in Nepal 2: The government's policy response
- 3. Evidence on DSF Effectiveness and Impact
- 3.1. DSF in Nepal 3: Assessing the effectiveness of DSF
- 4. Lessons from DSF Experience in Low-Income Contexts
- 4.1. Demand-side funding complements well-funded service provision
- 4.2. How sustainable are DSF mechanisms?
- 4.3. Does DSF encourage unhealthy behavior?
- 4.4. Do DSF mechanisms swap one information asymmetry for another?
- 5. Conclusion
- References
- Chapter 9 A New Approach to Measuring Health Development: From National Income Toward Health Coverage (and Beyond)
- 1. Introduction
- 2. Methods
- 2.1. Theoretical background and data sources
- 2.2. Measuring access to care and health needs
- 2.3. Measuring financial protection in health
- 2.4. A flexible approach: Incorporating information on financial constraints.
- 2.5. The computation of health development indices
- 2.5.1. Access to care index
- 2.5.2. Financial protection index
- 2.5.3. Constraints index
- 3. Results
- 3.1. Overview
- 3.2. A closer look: Comparisons of health development indices and GNI classification for selected countries
- 3.3. Relative importance of access to care and financial protection for measured levels of health development
- 3.4. Computation of health development indices using subnational data: The case of India
- 4. Discussion and Conclusions
- Acknowledgments
- Key Messages
- References
- Case Studies Application of Methods
- Chapter 10 Supporting the Development of Health Benefits Packages (HBPs): Principles and Initial Assessment for Malawi
- 1. Background
- 2. Methods
- 3. Findings and Discussion
- Key Messages
- References
- Chapter 11 Modelling and Economic Evaluation to Inform WHO HIV Treatment Guidelines
- 1. Background
- 2. Economic Evaluation in WHO HIV Treatment Guidelines
- 3. Implications and Discussion
- Key Messages
- References
- Chapter 12 Evaluating the 2014 Sugar-Sweetened Beverage Tax in Chile: Observational Evidence from Urban Areas
- 1. Introduction
- 2. Methods
- 3. Results
- 3.1. Volume of soft drinks purchased
- 4. Discussion
- 4.1. Implications for future research
- 4.2. Implications for policy
- References
- Appendices
- Appendix 1 Supply-Side Cost-Effectiveness Threshold Estimates for All Countries
- Appendix 2 Economic Evaluation of Social Care Interventions and Informal Care in Low- and Middle-Income Countries - Online Survey
- Supplementary Data - A New Approach to Measuring Health Development: From National Income Toward Health Coverage (and Beyond)
- 1. Further Results for the Computation of Health Development Indices
- 1.1. Composition of quartiles of health development indices by world regions.
- 1.2. Comparisons of changes in health development rankings for selected income groups and countries.