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Related Experiment Videos

Selective primary health care: is efficient sufficient?

P A Berman

    Social Science & Medicine (1982)
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Economic evaluation in developing countries requires careful application for effective primary health care planning. Cost-effectiveness alone is insufficient; a multiple-objective approach is recommended for complex public health challenges.

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    Area of Science:

    • Health economics
    • Public health policy
    • Primary health care strategy

    Background:

    • Developing countries increasingly use economic evaluations for health service planning.
    • Inappropriate application of these methods can lead to significant errors in primary health care strategies.
    • The paper 'Selective Primary Health Care' by Walsh and Warren exemplifies risks in using simplistic criteria for complex health problems.

    Purpose of the Study:

    • To critically evaluate the use of cost-effectiveness as a sole criterion for primary health care planning.
    • To highlight the limitations of narrowly focused economic evaluation in public health.
    • To propose an alternative approach for more comprehensive health planning.

    Main Methods:

    • Critique of cost-effectiveness analysis in the context of primary health care.

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  • Discussion of the limitations of technical criteria for complex public health issues.
  • Introduction of a multiple-objective approach as a superior alternative.

    • Main Results:

    • Cost-effectiveness is not a sufficient criterion for effective primary health care planning.
    • Simple technical criteria can lead to flawed solutions for complex public health problems.
    • A multiple-objective approach offers a more robust framework for health planning.

    Conclusions:

    • Economic evaluation methods must be applied cautiously in developing countries.
    • Primary health care planning requires a broader perspective beyond cost-effectiveness.
    • A multiple-objective approach is suggested for more appropriate and effective health service development.