Publication
2016
Departures from Cost-Effectiveness Recommendations: Health System Constraints
Cost-effectiveness analysis assumes a single constraint, in the form of the budget constraint, whereas in reality …
Cost-effectiveness analysis assumes a single constraint, in the form of the budget constraint, whereas in reality decision makers may be faced with numerous other constraints. The objective of this article is to develop a typology of constraints that may act as barriers to implementation of cost-effectiveness recommendations. Six categories of constraints are considered: the design of the health system; costs of implementing change; system interactions between interventions; uncertainty in estimates of costs and benefits; weak governance;…
Priority Setting/Ethics
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Cost-Effectiveness Analysis
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Education/Labor
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Latin America & Caribbean
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Health Systems
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Policy/Regulation
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Economics/Finance
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Government/Law
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Health/Medicine
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Sub-Saharan Africa
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Middle East & North Africa
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Asia & Pacific