Balancing Equity and Efficiency in Health Priorities in Ghana: The Use of Multicriteria Decision Analysis
| Autor: | Jeremy A. Lauer, William K. Bosu, Samuel Adjei, Salassi Amah d'Almeida, Caroline Jehu-Appiah, Dan Osei, Moses Aikins, Charles Acquah, Xander Koolman, Rob Baltussen |
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| Přispěvatelé: | Health Economics and Health Technology Assessment, APH - Quality of Care |
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Adolescent
Infectious diseases and international health [NCEBP 13] Cost-Benefit Analysis Psychological intervention resource allocation Disease Efficiency Organizational Ghana equity SDG 3 - Good Health and Well-being Poverty Areas Effective Primary Care and Public Health [EBP 3] Medicine Humans Healthcare Disparities Child Developing Countries Reproductive health Communicable disease Equity (economics) Actuarial science business.industry Health Policy Public Health Environmental and Occupational Health Poverty-related infectious diseases [N4i 3] Cost-effectiveness analysis Effective primary care and public health [NCEBP 7] priority setting Focus group efficiency Accountability business Models Econometric Forecasting |
| Zdroj: | Value in Health, 11(7), 1081-1087. Elsevier Value in Health, 11, 7, pp. 1081-7 BASE-Bielefeld Academic Search Engine Jehu-Appiah, C, Baltussen, R, Acquah, C, Aikins, M, d'Almeida, S A, Bosu, W K, Koolman, A H E, Lauer, J, Osei, D & Adjei, S 2008, ' Balancing Equity and Efficiency in Health Priorities in Ghana: The Use of Multicriteria Decision Analysis ', Value in Health, vol. 11, no. 7, pp. 1081-1087 . https://doi.org/10.1111/j.1524-4733.2008.00392.x Value in Health, 11, 1081-7 |
| ISSN: | 1098-3015 |
| DOI: | 10.1111/j.1524-4733.2008.00392.x |
| Popis: | Objectives: To guide the Ministry of Health in Ghana in the priority setting of interventions by quantifying the trade-off between equity, efficiency, and other societal concerns in health. Methods: The study applied a multicriteria decision analytical framework. A focus group of seven policymakers identified the relevant criteria for priority setting and 63 policymakers participated in a discrete choice experiment to weigh their relative importance. Regression analysis was used to rank order a set of health interventions on the basis of these criteria and associated weights. Results: Policymakers in Ghana consider targeting of vulnerable populations and cost-effectiveness as the most important criteria for priority setting of interventions, followed by severity of disease, number of beneficiaries, and diseases of the poor. This translates into a general preference for interventions in child health, reproductive health, and communicable diseases. Conclusion: Study results correspond with the overall vision of the Ministry of Health in Ghana, and are instrumental in the assessment of present and future investments in health. Multicriteria decision analysis contributes to transparency and accountability in policymaking. |
| Databáze: | OpenAIRE |
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