Priority setting of public spending in developing countries: do not try to do everything for everybody.
Identifieur interne : 000636 ( PubMed/Checkpoint ); précédent : 000635; suivant : 000637Priority setting of public spending in developing countries: do not try to do everything for everybody.
Auteurs : Rob Baltussen [Pays-Bas]Source :
- Health policy (Amsterdam, Netherlands) [ 0168-8510 ] ; 2006.
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Abstract
Public spending on health care in many developing countries falls short to provide a comprehensive set of essential health services, which indicates the need to target and prioritize resources. However, governments often attempt to provide free services to the whole population, and often spend resources on low-impact services. This results in an inequitable and inefficient use of resources.
DOI: 10.1016/j.healthpol.2005.10.006
PubMed: 16303204
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Priority setting of public spending in developing countries: do not try to do everything for everybody.</title><author><name sortKey="Baltussen, Rob" sort="Baltussen, Rob" uniqKey="Baltussen R" first="Rob" last="Baltussen">Rob Baltussen</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam, 3000DR 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, 3000DR Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:16303204</idno><idno type="pmid">16303204</idno><idno type="doi">10.1016/j.healthpol.2005.10.006</idno><idno type="wicri:Area/PubMed/Corpus">000824</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000824</idno><idno type="wicri:Area/PubMed/Curation">000824</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000824</idno><idno type="wicri:Area/PubMed/Checkpoint">000824</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000824</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Priority setting of public spending in developing countries: do not try to do everything for everybody.</title><author><name sortKey="Baltussen, Rob" sort="Baltussen, Rob" uniqKey="Baltussen R" first="Rob" last="Baltussen">Rob Baltussen</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam, 3000DR 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, 3000DR Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></analytic><series><title level="j">Health policy (Amsterdam, Netherlands)</title><idno type="ISSN">0168-8510</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Budgets</term><term>Developing Countries</term><term>Health Expenditures</term><term>Health Priorities</term><term>Public Sector</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Budgets</term><term>Dépenses de santé</term><term>Pays en voie de développement</term><term>Priorités en santé</term><term>Secteur public</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Budgets</term><term>Developing Countries</term><term>Health Expenditures</term><term>Health Priorities</term><term>Public Sector</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Budgets</term><term>Dépenses de santé</term><term>Pays en voie de développement</term><term>Priorités en santé</term><term>Secteur public</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Public spending on health care in many developing countries falls short to provide a comprehensive set of essential health services, which indicates the need to target and prioritize resources. However, governments often attempt to provide free services to the whole population, and often spend resources on low-impact services. This results in an inequitable and inefficient use of resources.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16303204</PMID><DateCreated><Year>2006</Year><Month>08</Month><Day>25</Day></DateCreated><DateCompleted><Year>2006</Year><Month>11</Month><Day>14</Day></DateCompleted><DateRevised><Year>2006</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0168-8510</ISSN><JournalIssue CitedMedium="Print"><Volume>78</Volume><Issue>2-3</Issue><PubDate><Year>2006</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Health policy (Amsterdam, Netherlands)</Title><ISOAbbreviation>Health Policy</ISOAbbreviation></Journal><ArticleTitle>Priority setting of public spending in developing countries: do not try to do everything for everybody.</ArticleTitle><Pagination><MedlinePgn>149-56</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Public spending on health care in many developing countries falls short to provide a comprehensive set of essential health services, which indicates the need to target and prioritize resources. However, governments often attempt to provide free services to the whole population, and often spend resources on low-impact services. This results in an inequitable and inefficient use of resources.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This paper presents a rational approach to targeting and prioritization of public spending, with an application to Ghana. First, interventions were tested against the economic justification for public funding, to define to whom spending should be targeted. Second, resulting interventions were prioritized on the basis of medical and non-medical criteria.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The step-wise approach led to a rank ordering of interventions with a specification whether public spending should be targeted at the whole population or the poor only. Disease control priorities are prevention of mother-to-child HIV/AIDS transmission and oral rehydration therapy to treat diarrhea in childhood, and public funding of these interventions is warranted for the whole population. Case-management of pneumonia in childhood is also a priority but public funding should be targeted at the poor only. Low priorities for public funding are certain interventions to control blood pressure, tobacco and alcohol abuse, be it for the whole population or the poor only.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Governments should not try to provide everything for everybody. This may help health systems to move towards a more equitable and efficient use of resources.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Baltussen</LastName><ForeName>Rob</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam, 3000DR Rotterdam, The Netherlands. r.baltussen@erasmusmc.nl</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>11</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Health Policy</MedlineTA><NlmUniqueID>8409431</NlmUniqueID><ISSNLinking>0168-8510</ISSNLinking></MedlineJournalInfo><CitationSubset>H</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002017" MajorTopicYN="N">Budgets</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003906" MajorTopicYN="Y">Developing Countries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005102" MajorTopicYN="Y">Health Expenditures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006292" MajorTopicYN="Y">Health Priorities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017150" MajorTopicYN="Y">Public Sector</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2005</Year><Month>04</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>10</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>11</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>11</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>11</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16303204</ArticleId><ArticleId IdType="pii">S0168-8510(05)00247-2</ArticleId><ArticleId IdType="doi">10.1016/j.healthpol.2005.10.006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li></region><settlement><li>Rotterdam</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Baltussen, Rob" sort="Baltussen, Rob" uniqKey="Baltussen R" first="Rob" last="Baltussen">Rob Baltussen</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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