Full Description
Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap.
National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood cancer, or expanding treatment for HIV/AIDS? Should health coverage decisions take into account the effects of illness on productivity, household finances, and children's educational attainment, or just focus on health outcomes? Does age matter for priority setting or should it be ignored? Are health gains far in the future less important than gains in the present? Should higher priority be given to people who are sicker or poorer?
Global Health Priority-Setting provides a framework for how to think about evidence-based priority-setting in health. Over 18 chapters, ethicists, philosophers, economists, policy-makers, and clinicians from around the world assess the state of current practice in national and global priority setting, describe new tools and methodologies to address establishing global health priorities, and tackle the most important ethical questions that decision-makers must consider in allocating health resources.
Contents
Foreword: Tore Godal
Part I. Four Perspectives on Priority Setting in Global Health
Section Editor: Ezekiel Emanuel
1. Ezekiel Emanuel. A Donor Country Perspective
2. Addis Tamire Woldemariam. A Developing Country Perspective
3. Ingrid Miljeteig, Addisu Melkie, Frehiwot Berhane, Ermias Dessie, Kristine H. Onarheim. Priorities at the Bedside: Experiences of Catastrophic Health Expenditures in Ethiopia
4. Jesse Bump. What Really Sets Priorities? Method, Context, and Perspective from 150 Years of Priority Setting
Part II. Four Systematic Approaches to Priority Setting
Section editors: Stéphane Verguet and Dean T. Jamison
5. Jeremy Lauer, Melanie Bertram, Alec Morton. Cost-Effectiveness Analysis
6. Stéphane Verguet, Solomon Memirie, Mieraf Taddesse, Dean T. Jamison. Extended Cost-Effectiveness Analysis
7. Lisa Robinson, James Hammitt. Benefit-Cost Analysis
8. Matthew Adler. Social Welfare Functions
Part III. Distributional Concerns
Section editors: Ole F. Norheim and Trygve Ottersen
9. Alex Voorhoeve. Why Health-Related Inequalities Matter and Which Ones Do
10. Dean T. Jamison, Julian C. Jamison, Ole F. Norheim, Stéphane Verguet. Inequality in Survival
11. Ole F. Norheim, Trygve Ottersen, Mieraf Taddesse Tolla, Solomon Memirie, Kjell Arne Johansson. Incorporating Distributional Concerns into Practical Tools for Priority Setting
Part IV. Reconceptualizing Outcomes
Section editors: Kjell Arne Johansson and Joseph Millum
12. Govind Persad, Jess du Toit. The Case for Valuing Non-Health and Indirect Benefits
13. Hilary Greaves. Discounting Future Health
14. Joseph Millum, Espen Gamlund, Emery Ngamasana, Carl Tollef Solberg. Age and the Disvalue of Death
Part V. Process and Practice
Section editor: Jennifer Prah Ruger
15. Amanda Glassman, Kalipso Chalkidou, Ursula Giedion, Yot Teerawattananon. Building institutions for priority-setting: Recommendations from a Center for Global Development Working Group
16. Matthew McCoy, Harald Schmidt, Jennifer Prah Ruger, Marion Danis. The Role of Public Engagement in Priority Setting
17. Trygve Ottersen, Ole Frithjof Norheim. Setting Priorities in the Pursuit of Universal Health Coverage
Part VI. Conclusion: Where Do We Go from Here?
18. Trygve Ottersen, Joseph Millum, Jennifer Prah Ruger, Stéphane Verguet, Kjell Arne Johansson, Ezekiel Emanuel, Dean Jamison, Ole F. Norheim. The Future of Priority Setting in Global Health
