Le SIDA au Ghana (serveur d'exploration)

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Towards a multi-criteria approach for priority setting: an application to Ghana.

Identifieur interne : 000197 ( Ncbi/Merge ); précédent : 000196; suivant : 000198

Towards a multi-criteria approach for priority setting: an application to Ghana.

Auteurs : Rob Baltussen [Pays-Bas] ; Elly Stolk ; Dan Chisholm ; Moses Aikins

Source :

RBID : pubmed:16491464

Descripteurs français

English descriptors

Abstract

Many criteria have been proposed to guide priority setting in health, but their relative importance has not yet been determined in a way that allows a rank ordering of interventions.

DOI: 10.1002/hec.1092
PubMed: 16491464

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pubmed:16491464

Le document en format XML

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<name sortKey="Baltussen, Rob" sort="Baltussen, Rob" uniqKey="Baltussen R" first="Rob" last="Baltussen">Rob Baltussen</name>
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<nlm:affiliation>Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam, The Netherlands. r.baltussen@erasmusmc.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam</wicri:regionArea>
<wicri:noRegion>Erasmus Medical Center Rotterdam</wicri:noRegion>
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<name sortKey="Stolk, Elly" sort="Stolk, Elly" uniqKey="Stolk E" first="Elly" last="Stolk">Elly Stolk</name>
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<name sortKey="Chisholm, Dan" sort="Chisholm, Dan" uniqKey="Chisholm D" first="Dan" last="Chisholm">Dan Chisholm</name>
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<name sortKey="Aikins, Moses" sort="Aikins, Moses" uniqKey="Aikins M" first="Moses" last="Aikins">Moses Aikins</name>
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<term>Choice Behavior</term>
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<term>Ghana</term>
<term>Health Care Surveys</term>
<term>Health Priorities (classification)</term>
<term>Health Priorities (standards)</term>
<term>Humans</term>
<term>Poverty (prevention & control)</term>
<term>Severity of Illness Index</term>
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<term>Comportement de choix</term>
<term>Coûts et analyse des coûts</term>
<term>Enquêtes sur les soins de santé</term>
<term>Facteurs de l'âge</term>
<term>Ghana</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Pauvreté ()</term>
<term>Priorités en santé ()</term>
<term>Priorités en santé (normes)</term>
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<term>Poverty</term>
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<term>Health Priorities</term>
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<term>Comportement de choix</term>
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<div type="abstract" xml:lang="en">Many criteria have been proposed to guide priority setting in health, but their relative importance has not yet been determined in a way that allows a rank ordering of interventions.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Many criteria have been proposed to guide priority setting in health, but their relative importance has not yet been determined in a way that allows a rank ordering of interventions.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In an explorative study, a discrete choice experiment was carried out to determine the relative importance of different criteria in identifying priority interventions in Ghana. Thirty respondents chose between 12 pairs of scenarios that described interventions in terms of medical and non-medical criteria. Subsequently, a composite league table was constructed to rank order a set of interventions by mapping interventions on those criteria and considering the relative weights of different criteria.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Interventions that are cost-effective, reduce poverty, target severe diseases, or target the young had a higher probability of being chosen than others. The composite league table showed that high priority interventions in Ghana are prevention of mother to child transmission in HIV/AIDS control, and treatment of pneumonia and diarrhoea in childhood. Low priority interventions are certain interventions to control blood pressure, tobacco and alcohol abuse. The composite league table lead to a different and more differentiated rank ordering of interventions compared to pure efficiency ratings.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This explorative study has introduced a multi-criteria approach to priority setting. It has shown the feasibility of accounting for efficiency, equity and other societal concerns in prioritization decisions, and its potentially large impact on priority setting.</AbstractText>
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