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Health Systems and Reform 2019This paper presents the economic rationale for treating Common Goods for Health (CGH) as priorities for public intervention. We use the concept of market failure as a...
This paper presents the economic rationale for treating Common Goods for Health (CGH) as priorities for public intervention. We use the concept of market failure as a central argument for identifying CGH and apply cost-effectiveness analysis (CEA) as a normative tool to prioritize CGH interventions in public finance decisions. We show that CGH are consistent with traditional lists of public health core functions but cannot be identified separately from non-CGH activities in such lists. We propose a public finance decision tree, adapted from existing health economics tools, to identify CGH activities within the set of cost-effective interventions for the health sector. We test the framework by applying it to the 2018 Disease Control Priority (DCP) list of interventions recommended for public funding and find that less than 10% of cost-effective interventions unconditionally qualify as CGH, while another two-thirds may or may not qualify depending on context and form. We conclude that while CEA can be used as a tool to prioritize CGH, the scarcity of such analyses for CGH interventions may be partly responsible for the lack of priority given to them. We encourage further research to address methodological and resource challenges to assessing the cost-effectiveness of CGH intervention packages, in particular those involving large investments and long-term benefits.
Topics: Economics, Medical; Health Priorities; Humans; Resource Allocation; Social Justice
PubMed: 31661367
DOI: 10.1080/23288604.2019.1656028 -
Journal of the Philippine Medical... Nov 1964
Topics: Economics, Medical; Fees, Medical; Jurisprudence; Philippines
PubMed: 14263514
DOI: No ID Found -
Journal of the Philippine Medical... Oct 1964
Topics: Economics, Medical; Fees, Medical; Philippines
PubMed: 14250888
DOI: No ID Found -
Revue D'histoire de La Pharmacie 1990
Topics: Economics, Medical; France; History of Pharmacy; History, Modern 1601-
PubMed: 11638148
DOI: No ID Found -
Revue D'histoire de La Pharmacie 1988
Topics: Economics, Medical; France; History of Pharmacy; History, Modern 1601-
PubMed: 11637684
DOI: No ID Found -
Orvostorteneti Kozlemenyek 1988
Topics: Economics, Medical; History, Modern 1601-; Hungary; Social Welfare
PubMed: 11634169
DOI: No ID Found -
Historia Medicinae Veterinariae 1988
Topics: Economics, Medical; Education, Medical; France; History, Modern 1601-; Veterinary Medicine
PubMed: 11621802
DOI: No ID Found -
Bulletin - Cercle Benelux D'histoire de... Sep 1986
Topics: Economics, Medical; History of Pharmacy; History, Early Modern 1451-1600; History, Modern 1601-; Netherlands
PubMed: 11634123
DOI: No ID Found -
Histoire Des Sciences Medicales 1985
Topics: Economics, Medical; France; History, Modern 1601-; Social Welfare
PubMed: 11634063
DOI: No ID Found -
Recherche Sociale 1983
Topics: Canada; Economics, Medical; History, Modern 1601-; Medicine
PubMed: 11635621
DOI: No ID Found