Health system modelling research: towards a whole-health-system perspective for identifying good value for money investments in health system strengthening.

Autor:	Verguet S; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Feldhaus I; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Jiang Kwete X; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Aqil A; Office of Health Systems, USAID Bureau for Global Health, Arlington, Virginia, USA., Atun R; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Bishai D; Department of Family and Population Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA., Cecchini M; OECD, Paris, France., Guerra Junior AA; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Habtemariam MK; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Federal Ministry of Health, Addis Ababa, Ethiopia., Jbaily A; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Karanfil O; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; College of Administrative Sciences and Economics, Koc Universitesi, Istanbul, Turkey., Kruk ME; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Haneuse S; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Norheim OF; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway., Smith PC; Imperial College Business School, London, UK.; Center for Health Economics, University of York, York, UK., Tolla MT; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Zewdu S; Bill and Melinda Gates Foundation, Global Development, Addis Ababa, Ethiopia., Bump J; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2019 Apr 28; Vol. 4 (2), pp. e001311. Date of Electronic Publication: 2019 Apr 28 (Print Publication: 2019).
DOI:	10.1136/bmjgh-2018-001311
Abstrakt:	Global health research has typically focused on single diseases, and most economic evaluation research to date has analysed technical health interventions to identify 'best buys'. New approaches in the conduct of economic evaluations are needed to help policymakers in choosing what may be good value (ie, greater health, distribution of health, or financial risk protection) for money (ie, per budget expenditure) investments for health system strengthening (HSS) that tend to be programmatic. We posit that these economic evaluations of HSS interventions will require developing new analytic models of health systems which recognise the dynamic connections between the different components of the health system, characterise the type and interlinks of the system's delivery platforms; and acknowledge the multiple constraints both within and outside the health sector which limit the system's capacity to efficiently attain its objectives. We describe priority health system modelling research areas to conduct economic evaluation of HSS interventions and ultimately identify good value for money investments in HSS. Competing Interests: Competing interests: None declared.
Databáze:	MEDLINE
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