Methods to promote equity in health resource allocation in low- and middle-income countries

An overview

Dados Bibliográficos

ID19533763
AutoresJames Love-Koh (0000-0001-9009-5346, University of York, autor correspondente), Susan Griffin (0000-0003-2188-8400, University of York), Edward Kataika (0000-0003-1631-5130, East, Central and Southern Africa Health Community), Paul Revill (0000-0001-8632-0600, University of York), Sibusiso Sibandze (East, Central and Southern Africa Health Community), Simon Walker (0000-0003-1099-8831), Simon Mark Walker (0000-0002-5750-3691, University of York)
Ano2020
Volume16
Fascículo1
Páginas6-6
Data de publicação2020-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobalization and Health (JOURNAL)
Identificadores do periódicoISSN: 1744-8603 • E-ISSN: 1744-8603
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s12992-019-0537-z
PMID31931823
OpenAlexW3009783074
IdiomaEN
Citações recebidas12
Referências citadas56

Unfair differences in healthcare access, utilisation, quality or health outcomes exist between and within countries around the world. Improving health equity is a stated objective for many governments and international organizations. We provide an overview of the major tools that have been developed to measure, evaluate and promote health equity, along with the data required to operationalise them. Methods are organised into four key policy questions facing decision-makers: (i) what is the current level of inequity in health; (ii) does government health expenditure benefit the worst-off; (iii) can government health expenditure more effectively promote equity; and (iv) which interventions provide the best value for money in reducing inequity. Benefit incidence analysis can be used to estimate the distribution of current public health sector expenditure, with geographical resource allocation formulae and health system reform being the main government policy levers for improving equity. Techniques from the economic evaluation literature, such as extended and distributional cost-effectiveness analysis can be used to identify ‘best buy’ interventions from a health equity perspective. A range of inequality metrics, from gap measures and slope indices to concentration indices and regression analysis, can be applied to these approaches to evaluate changes in equity. Methods from the economics literature can provide policymakers with a toolkit for addressing multiple aspects of health equity, from outcomes to financial protection, and can be adapted to accommodate data commonly available in low- and middle-income settings

Business · Economic growth · Economics · Health care · Health economics · Health equity · Health services research · Political science · Psychological intervention · Public economics · Public health · Social policy · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Health Policy