Adapting Economic Evaluation Methods to Shifting Global Health Priorities: Assessing the Value of Health System Inputs.

Autor: McGuire F; Centre for Health Economics, University of York, York, England, UK. Electronic address: finn.mcguire@york.ac.uk., Mohan S; Centre for Health Economics, University of York, York, England, UK., Walker S; Centre for Health Economics, University of York, York, England, UK., Nabyonga-Orem J; Inter-Country Support Team for Eastern and Southern Africa, UHC Life Course Cluster, World Health Organization, Brazzaville, Republic of Congo; Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa., Ssengooba F; Department of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda., Kataika E; East, Central and Southern Africa Health Community, Arusha, Tanzania., Revill P; Centre for Health Economics, University of York, York, England, UK.
Jazyk: angličtina
Zdroj: Value in health regional issues [Value Health Reg Issues] 2024 Jan; Vol. 39, pp. 31-39. Date of Electronic Publication: 2023 Nov 16.
DOI: 10.1016/j.vhri.2023.08.005
Abstrakt: Objectives: We highlight the importance of undertaking value assessments for health system inputs if allocative efficiency is to be achieve with health sector resources, with a focus on low- and middle-income countries. However, methodological challenges complicated the application of current economic evaluation techniques to health system input investments.
Methods: We undertake a review of the literature to examine how assessments of investments in health system inputs have been considered to date, highlighting several studies that have suggested ways to address the methodological issues. Additionally, we surveyed how empirical economic evaluations of health system inputs have approached these issues. Finally, we highlight the steps required to move toward a comprehensive standardized framework for undertaking economic evaluations to make value assessments for investments in health systems.
Results: Although the methodological challenges have been illustrated, a comprehensive framework for value assessments of health system inputs, guiding the evidence required, does not exist. The applied literature of economic evaluations of health system inputs has largely ignored the issues, likely resulting in inaccurate assessments of cost-effectiveness.
Conclusions: A majority of health sector budgets are spent on health system inputs, facilitating the provision of healthcare interventions. Although economic evaluation methods are a key component in priority setting for healthcare interventions, such methods are less commonly applied to decision making for investments in health system inputs. Given the growing agenda for investments in health systems, a framework will be increasingly required to guide governments and development partners in prioritizing investments in scarce health sector budgets.
(Copyright © 2023 International Society for Health Economics and Outcomes Research. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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