Any dispute related to the use of the works of the IDB that cannot be settled amicably shall be s... more Any dispute related to the use of the works of the IDB that cannot be settled amicably shall be submitted to arbitration pursuant to the UNCITRAL rules. The use of the IDB's name for any purpose other than for attribution, and the use of IDB's logo shall be subject to a separate written license agreement between the IDB and the user and is not authorized as part of this CC-IGO license. Note that link provided above includes additional terms and conditions of the license. The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent.
legalcode) y puede ser reproducida para cualquier uso no-comercial otorgando el reconocimiento re... more legalcode) y puede ser reproducida para cualquier uso no-comercial otorgando el reconocimiento respectivo al BID. No se permiten obras derivadas. Cualquier disputa relacionada con el uso de las obras del BID que no pueda resolverse amistosamente se someterá a arbitraje de conformidad con las reglas de la CNUDMI (UNCITRAL). El uso del nombre del BID para cualquier fin distinto al reconocimiento respectivo y el uso del logotipo del BID, no están autorizados por esta licencia CC-IGO y requieren de un acuerdo de licencia adicional. Note que el enlace URL incluye términos y condiciones adicionales de esta licencia. Las opiniones expresadas en esta publicación son de los autores y no necesariamente reflejan el punto de vista del Banco Interamericano de Desarrollo, de su Directorio Ejecutivo ni de los países que representa.
"El interes cada vez mayor por los asuntos ambientales y la alarmante situacion del Rio Bogo... more "El interes cada vez mayor por los asuntos ambientales y la alarmante situacion del Rio Bogota han llevado a la CAR a considerar el establecimiento de una entidad financiera independiente, especializada en otorgamiento de creditos al sector industrial responsable en gran parte de la contaminacion del rio."
ABSTRACT Este es la primera publicación de una serie de notas técnicas sobre procesos de prioriza... more ABSTRACT Este es la primera publicación de una serie de notas técnicas sobre procesos de priorización de salud. Aquí se introduce el término de priorización explícita, y presenta argumentos y cifras acerca de por qué los países de la región están enfrentados a una brecha cada vez más grande entre lo financieramente factible y lo médicamente posible.
"Este informe presenta una vision de la evolucion del impacto del gasto publico en salud. Se... more "Este informe presenta una vision de la evolucion del impacto del gasto publico en salud. Se divide en dos partes: la primera sirve de marco general y se concentra en las caracteristicas de la evolucion del gasto publico en salud en los ultimos veinte anos, en algunas reflexiones sobre el marco institucional del sector, y su incidencia sobre las condiciones de salud. La segunda aparte presenta la asistencia a los servicios de salud y la incidencia a los servicios publicos por estratos de poblacion."
En este documento, en primera instancia, se consideran algunas de las fallas u problemas de la in... more En este documento, en primera instancia, se consideran algunas de las fallas u problemas de la investigacion y, en segundo lugar , se anotas las lineas de investigacion primordiales identificadas. Este informe aprovecha en gran parte las conclusiones y consideraciones que se hicieron en el taller, pero lleva tambien a algunas conclusiones propuestas de Fedesarrollo sobre areas prioritarias de investigacion.
Esta monografia utiliza un enfoque sistemico para abordar la priorizacion explicita en salud, lo ... more Esta monografia utiliza un enfoque sistemico para abordar la priorizacion explicita en salud, lo que facilita la comprension de los procesos que la integran, los actores que involucra y su relacion con las diferentes politicas publicas que deben ser articuladas e implementadas de una manera armonica. El documento ofrece, en primer lugar, un marco conceptual y seguidamente presenta las instituciones y los actores de cada proceso relacionado con la priorizacion, sus funciones y responsabilidades y los criterios y reglas que rigen cada paso en tres paises de Latinoamerica: Brasil, Colombia y Mexico. A continuacion se evaluan y comparan los sistemas de priorizacion de estos tres paises segun criterios de coherencia, eficacia y eficiencia, solidez tecnica, transparencia y legitimidad. Finalmente, se ofrece una serie de recomendaciones que pueden ser de utilidad para aquellos paises que todavia no hayan iniciado sus procesos de priorizacion en salud o que esten en proceso de construirlos o mejorarlos.
There is immense interest worldwide in the notion of universal health coverage (UHC). A major pol... more There is immense interest worldwide in the notion of universal health coverage (UHC). A major policy focus in moving toward UHC has been on the key policy question: what services should be made available and under what conditions? In this article we are concerned with how a feasible set of UHC services can be explicitly defined to create what is commonly known as a "health benefits package" (HBP), a set of services that can be feasibly financed and provided under the actual circumstances in which a given country finds itself. We explain why an explicit statement of the HBP is important and then describe a framework that includes ten core elements that are indispensable if a coherent and sustainable process for setting the HBP is to be established.
brings together the long-standing expertise of the Deutscher Entwicklungsdienst (DED) gGmbH (Germ... more brings together the long-standing expertise of the Deutscher Entwicklungsdienst (DED) gGmbH (German Development Service), the Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH (German technical cooperation) and InWEnt – Capacity Building International, Germany. For the sake of convenience, the new company name GIZ has been used throughout this document. This study is a reprint of the second part of the publication “Economic Survey of Latin America and the Caribbean 2009-2010”, which is issued annually by the Economic Development Division of the Economic Commission for Latin America and the Caribbean (ECLAC). The 2009-2010 edition was prepared under the supervision of Osvaldo Kacef, Director of the Division, with the collaboration of Jürgen Weller and Juan Pablo Jiménez. The original chapters drew on material written by Jorge Robbio, ECLAC consultant, as well as documents
The decentralization of responsibilities from the central government to lower levels of governmen... more The decentralization of responsibilities from the central government to lower levels of government or semi-autonomous institutions has become an increasingly common strategy for improving the performance of health systems in developing countries and ultimately for improving the health status of developing country populations. However efforts to monitor and evaluate the implementation and functioning of decentralization programs are often hampered by poor or incompatible data by the absence of sound research designs and by the sheer scope of the reform which can encompass all aspects of health system functioning. This work presents a conceptual framework for identifying key areas for evaluation of decentralization programs and the pathways – and potential barriers – by which decentralization can affect health systems. It also identifies ways to evaluate the impact of decentralization in achieving key objectives – improved efficiency accessibility equity community participation and health status. The work outlines the types of data that can be collected and a detailed set of indicators in several broad areas – political administrative and fiscal – that can be useful for monitoring and evaluation purposes. Most of the indicators described can be collected from existing data collection techniques although to date many of these data are not part of routine data collection in many countries. Numerous data collection tools are also described as are the types of analyses – including impact evaluations of decentralization – that can be undertaken with that data. (authors)
Journal of Comparative Effectiveness Research, May 1, 2013
The use of health technology assessment research in emerging economies is becoming an increasingl... more The use of health technology assessment research in emerging economies is becoming an increasingly important tool to determine the uses of health spending. As low- and middle-income countries’ gross domestic product grows, the funding available for health has increased in tandem. There is growing evidence that comparative effectiveness research and cost–effectiveness can be used to improve health outcomes within a predefined financial space. The use of these evaluation tools, combined with a systematized process of priority setting, can help inform national and global health payers. This review of country institutions for health technology assessment illustrates two points: the efforts underway to use research to inform priorities are widespread and not confined to wealthier countries; and many countries’ efforts to create evidence-based policy are incomplete and more country-specific research will be needed. Further evidence shows that there is scope to reduce these gaps and opportunity to support better incorporation of data through better-defined priority-setting processes.
Any dispute related to the use of the works of the IDB that cannot be settled amicably shall be s... more Any dispute related to the use of the works of the IDB that cannot be settled amicably shall be submitted to arbitration pursuant to the UNCITRAL rules. The use of the IDB's name for any purpose other than for attribution, and the use of IDB's logo shall be subject to a separate written license agreement between the IDB and the user and is not authorized as part of this CC-IGO license. Note that link provided above includes additional terms and conditions of the license. The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent.
legalcode) y puede ser reproducida para cualquier uso no-comercial otorgando el reconocimiento re... more legalcode) y puede ser reproducida para cualquier uso no-comercial otorgando el reconocimiento respectivo al BID. No se permiten obras derivadas. Cualquier disputa relacionada con el uso de las obras del BID que no pueda resolverse amistosamente se someterá a arbitraje de conformidad con las reglas de la CNUDMI (UNCITRAL). El uso del nombre del BID para cualquier fin distinto al reconocimiento respectivo y el uso del logotipo del BID, no están autorizados por esta licencia CC-IGO y requieren de un acuerdo de licencia adicional. Note que el enlace URL incluye términos y condiciones adicionales de esta licencia. Las opiniones expresadas en esta publicación son de los autores y no necesariamente reflejan el punto de vista del Banco Interamericano de Desarrollo, de su Directorio Ejecutivo ni de los países que representa.
"El interes cada vez mayor por los asuntos ambientales y la alarmante situacion del Rio Bogo... more "El interes cada vez mayor por los asuntos ambientales y la alarmante situacion del Rio Bogota han llevado a la CAR a considerar el establecimiento de una entidad financiera independiente, especializada en otorgamiento de creditos al sector industrial responsable en gran parte de la contaminacion del rio."
ABSTRACT Este es la primera publicación de una serie de notas técnicas sobre procesos de prioriza... more ABSTRACT Este es la primera publicación de una serie de notas técnicas sobre procesos de priorización de salud. Aquí se introduce el término de priorización explícita, y presenta argumentos y cifras acerca de por qué los países de la región están enfrentados a una brecha cada vez más grande entre lo financieramente factible y lo médicamente posible.
"Este informe presenta una vision de la evolucion del impacto del gasto publico en salud. Se... more "Este informe presenta una vision de la evolucion del impacto del gasto publico en salud. Se divide en dos partes: la primera sirve de marco general y se concentra en las caracteristicas de la evolucion del gasto publico en salud en los ultimos veinte anos, en algunas reflexiones sobre el marco institucional del sector, y su incidencia sobre las condiciones de salud. La segunda aparte presenta la asistencia a los servicios de salud y la incidencia a los servicios publicos por estratos de poblacion."
En este documento, en primera instancia, se consideran algunas de las fallas u problemas de la in... more En este documento, en primera instancia, se consideran algunas de las fallas u problemas de la investigacion y, en segundo lugar , se anotas las lineas de investigacion primordiales identificadas. Este informe aprovecha en gran parte las conclusiones y consideraciones que se hicieron en el taller, pero lleva tambien a algunas conclusiones propuestas de Fedesarrollo sobre areas prioritarias de investigacion.
Esta monografia utiliza un enfoque sistemico para abordar la priorizacion explicita en salud, lo ... more Esta monografia utiliza un enfoque sistemico para abordar la priorizacion explicita en salud, lo que facilita la comprension de los procesos que la integran, los actores que involucra y su relacion con las diferentes politicas publicas que deben ser articuladas e implementadas de una manera armonica. El documento ofrece, en primer lugar, un marco conceptual y seguidamente presenta las instituciones y los actores de cada proceso relacionado con la priorizacion, sus funciones y responsabilidades y los criterios y reglas que rigen cada paso en tres paises de Latinoamerica: Brasil, Colombia y Mexico. A continuacion se evaluan y comparan los sistemas de priorizacion de estos tres paises segun criterios de coherencia, eficacia y eficiencia, solidez tecnica, transparencia y legitimidad. Finalmente, se ofrece una serie de recomendaciones que pueden ser de utilidad para aquellos paises que todavia no hayan iniciado sus procesos de priorizacion en salud o que esten en proceso de construirlos o mejorarlos.
There is immense interest worldwide in the notion of universal health coverage (UHC). A major pol... more There is immense interest worldwide in the notion of universal health coverage (UHC). A major policy focus in moving toward UHC has been on the key policy question: what services should be made available and under what conditions? In this article we are concerned with how a feasible set of UHC services can be explicitly defined to create what is commonly known as a "health benefits package" (HBP), a set of services that can be feasibly financed and provided under the actual circumstances in which a given country finds itself. We explain why an explicit statement of the HBP is important and then describe a framework that includes ten core elements that are indispensable if a coherent and sustainable process for setting the HBP is to be established.
brings together the long-standing expertise of the Deutscher Entwicklungsdienst (DED) gGmbH (Germ... more brings together the long-standing expertise of the Deutscher Entwicklungsdienst (DED) gGmbH (German Development Service), the Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH (German technical cooperation) and InWEnt – Capacity Building International, Germany. For the sake of convenience, the new company name GIZ has been used throughout this document. This study is a reprint of the second part of the publication “Economic Survey of Latin America and the Caribbean 2009-2010”, which is issued annually by the Economic Development Division of the Economic Commission for Latin America and the Caribbean (ECLAC). The 2009-2010 edition was prepared under the supervision of Osvaldo Kacef, Director of the Division, with the collaboration of Jürgen Weller and Juan Pablo Jiménez. The original chapters drew on material written by Jorge Robbio, ECLAC consultant, as well as documents
The decentralization of responsibilities from the central government to lower levels of governmen... more The decentralization of responsibilities from the central government to lower levels of government or semi-autonomous institutions has become an increasingly common strategy for improving the performance of health systems in developing countries and ultimately for improving the health status of developing country populations. However efforts to monitor and evaluate the implementation and functioning of decentralization programs are often hampered by poor or incompatible data by the absence of sound research designs and by the sheer scope of the reform which can encompass all aspects of health system functioning. This work presents a conceptual framework for identifying key areas for evaluation of decentralization programs and the pathways – and potential barriers – by which decentralization can affect health systems. It also identifies ways to evaluate the impact of decentralization in achieving key objectives – improved efficiency accessibility equity community participation and health status. The work outlines the types of data that can be collected and a detailed set of indicators in several broad areas – political administrative and fiscal – that can be useful for monitoring and evaluation purposes. Most of the indicators described can be collected from existing data collection techniques although to date many of these data are not part of routine data collection in many countries. Numerous data collection tools are also described as are the types of analyses – including impact evaluations of decentralization – that can be undertaken with that data. (authors)
Journal of Comparative Effectiveness Research, May 1, 2013
The use of health technology assessment research in emerging economies is becoming an increasingl... more The use of health technology assessment research in emerging economies is becoming an increasingly important tool to determine the uses of health spending. As low- and middle-income countries’ gross domestic product grows, the funding available for health has increased in tandem. There is growing evidence that comparative effectiveness research and cost–effectiveness can be used to improve health outcomes within a predefined financial space. The use of these evaluation tools, combined with a systematized process of priority setting, can help inform national and global health payers. This review of country institutions for health technology assessment illustrates two points: the efforts underway to use research to inform priorities are widespread and not confined to wealthier countries; and many countries’ efforts to create evidence-based policy are incomplete and more country-specific research will be needed. Further evidence shows that there is scope to reduce these gaps and opportunity to support better incorporation of data through better-defined priority-setting processes.
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