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Priority-setting institutions in health: recommendations from a center for global development working group
Amanda Glassman1, Kalipso Chalkidou2, Ursula Giedion3
1Center for Global Development, Washington, DC, USA.
Global Heart
|February 19, 2015
Summary
Health systems face resource allocation challenges. This study examines priority-setting processes in low- and middle-income countries, proposing improvements for better health outcomes.
Area of Science:
- Health economics
- Global health policy
- Resource allocation
Background:
- Health systems globally grapple with rationing finite resources against unlimited demand.
- Low- and middle-income countries often employ ad hoc, non-transparent rationing methods influenced by diverse stakeholder interests.
- Increasingly, explicit priority-setting processes are emerging in these nations, requiring enhanced support.
Purpose of the Study:
- To analyze current health priority-setting practices in low- and middle-income countries.
- To propose institutional frameworks fostering country ownership and systematic resource management.
- To enhance health outcomes through improved political and economic management of health services.
Main Methods:
- Review of current global and national priority-setting practices.
- Assessment of the potential for strengthening national health institutions.
- Evaluation of mechanisms for increased global support.
Main Results:
- Identified limitations in current ad hoc rationing approaches.
- Highlighted the need for more systematic and transparent priority-setting mechanisms.
- Emphasized the importance of country ownership in resource allocation.
Conclusions:
- Strengthened national institutions are crucial for effective health resource management.
- Enhanced global support can facilitate the adoption of explicit priority-setting processes.
- Systematic management of health priorities is essential for improving health outcomes in resource-constrained settings.