Accounting for the cost of scaling-up health interventions
Accounting for the cost of scaling-up health interventions
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DOI：
10.1002/hec.880
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发表时间：
2004-11-01
期刊：
影响因子：
2.1
通讯作者：
Baltussen, R
中科院分区：
文献类型：
--
作者：
Johns, B;Baltussen, R
宏观经济和卫生委员会等最近的研究强调，有必要扩大艾滋病毒/艾滋病、疟疾、结核病、免疫接种和其他疾病的服务覆盖面。为了让决策者对这些变化进行规划，他们需要分析当干预措施“扩大规模”以覆盖更大比例的人口时成本的变化。先前的研究表明，将当前的单位成本应用于整个人群可能会误解干预的真实成本。本研究介绍了世卫组织选择的一般成本效益分析中使用的方法，其中包括卫生中心的非线性成本函数、运输和监督成本，以及建立卫生基础设施的固定成本。结果表明，边际成本的变化符合经济学理论的预测。版权所有：John Wiley Sons， Ltd. 2004
Recent studies such as the Commission on Macroeconomics and Health have highlighted the need for expanding the coverage of services for HIV/AIDS, malaria, tuberculosis, immunisations and other diseases. In order for policy makers to plan for these changes, they need to analyse the change in costs when interventions are 'scaled-up' to cover greater percentages of the population. Previous studies suggest that applying current unit costs to an entire population can misconstrue the true costs of an intervention. This study presents the methodology used in WHO-CHOICE's generalised cost effectiveness analysis, which includes non-linear cost functions for health centres, transportation and supervision costs, as well as the presence of fixed costs of establishing a health infrastructure. Results show changing marginal costs as predicted by economic theory. Copyright (C) 2004 John Wiley Sons, Ltd.