Priority setting in developed and developing countries

Author(s):  
Nigel Crisp

Priority setting is a normal and important task in any health system. The starting point is current knowledge and evidence, but priority setting is also about judgement, which goes beyond what can be based on evidence. Wherever possible, judgement needs to be based on transparent and systematic methods that are open to question and debate by others....

2007 ◽  
Vol 15 (3) ◽  
pp. 159-167 ◽  
Author(s):  
Lydia Kapiriri ◽  
Douglas K. Martin

2016 ◽  
Vol 8 (10) ◽  
pp. 212
Author(s):  
Hakimeh Mostafavi ◽  
Arash Rashidian ◽  
Mohammad Arab ◽  
Mohammad R. V. Mahdavi ◽  
Kioomars Ashtarian

<p><strong>Background:</strong> Health systems, as part of the social system, consider public values. This study was conducted to examine the role of social values in the health priority setting in the Iranian health system.</p><p><strong>Methods:</strong> In this qualitative case study, three main data sources were used: literature, national documents, and key informants who were purposefully selected from health care organizations and other related institutions. Data was analyzed and interpreted using the Clark-Weale Framework.</p><p><strong>Results:</strong> According to our results, the public indirectly participates in decision-making. The public representatives participate in the meetings of the health priority setting as parliament members, representatives of some unions, members of the city council, and donors. The transparency of the decisions and the accountability of the decision makers are low. Decision makers only respond to complaints of the Audit Court and the Inspection Organization. Individual choice, although respected in hospitals and clinics, is limited in health care networks because of the referral system. Clinical effectiveness is considered in insurance companies and some hospitals. There are no technical abilities to determine the cost-effectiveness of health technologies; however, some international experiences are employed. Equity and solidarity are considered in different levels of the health system.</p><p><strong>Conclusion:</strong> Social values are considered in the health priority decisions in limited ways. It seems that the lack of an appropriate value-based framework for priority setting and also the lack of public participation are the major defects of the health system. It is recommended that health policymakers invite different groups of people and stakeholders for active involvement in health priority decisions. </p>


2017 ◽  
Vol 8 (1-IT) ◽  
Author(s):  
Mario Tanga ◽  
Giacomo Gelati ◽  
Marco Casazza

6Contemporary science and culture show more and more extended and meaningful signs about the increasing explaining power of evolutionary paradigm. This power overcomes the field of the history of living species. We consider “On the Origin of Species” of 1859 by Charles Darwin as the establishment of this paradigm, but this original and fruitful idea has received the several and different contributions from near and (seemingly) far scientific fields. This process happened according distinguishable waves and leaded the evolutionary theory very far from its starting point, making it something wider and different. The current knowledge of this theory involves many kinds of scholars: biologists, zoologists, botanists, development biologists, genetics/genomics scholars and also scholars of many other disciplines, as statistics, mathematics, ecology, environmental sciences, physics, chemistry, linguistics, sociology, neuro-sciences, epidemiology, informatics, immunology. During the end of XX Century, the study of complexity, of self-organization and of emerging properties has been a decisive factor to extend evolution until beyond the boundaries of Biology. These phenomena, or properties, or features, that are shown by “living” and “not-living” systems (so called basing ourselves on traditional definitions), have deeply modified even the “properly” biologic evolution itself and besides this has demonstrated that, mutatis mutandis, evolutionary processes or phenomena happen also out of biologic dominion, referring “biologic” to “wet-ware world”. This is to say the class of evolutionary phenomena is more widely and more inclusively extended than our opinion. We can mean this as a revolution (according to Kuhn’s definition) that imposes us to restructure the definition of evolution itself and even to redraw the boundaries and the map of Biology itself. Aiming to establish a name of this field of study we propose “PanEvolutionary Theory” (PanEvo Theory). No doubt Prigogine offered an important contribution to this area. The thinking and the work of Enzo Tiezzi can be placed seen in the same perspective. Disregarding direct connections and contacts with the Nobel Prize Prigogine, however the studies of Enzo Tiezzi are neither a fully unexpected work nor a theory lacking of important potentialities: it is not a strange or eccentric academic exercise. Except the close contact and the dense exchanges with Prigogine, we collocate Enzo Tiezzi in the same context of Gregory Chaitin, of Rachel Carson, of John Harte and Robert H. Socolow, of James Paul Wesley, of Sertorio, of Oort and Peixoto, just to cite the most strictly related. Our Academy had the privilege and the honor of having Enzo Tiezzi in its ranks. We think that merits and developments of the thinking of this scholar have to produce important and lasting fruits in the future.


2018 ◽  
Vol 10 (11) ◽  
pp. 3929 ◽  
Author(s):  
Abdulquadri Bilau ◽  
Emlyn Witt ◽  
Irene Lill

Despite an international consensus for housing to be “built back better” (BBB) following disasters, and the considerable resources expended on reconstruction efforts globally, the management of post-disaster housing reconstruction programmes often leaves much to be desired. This research presents a framework for the management of post-disaster housing reconstruction in developing countries based on a comprehensive identification of the issues affecting the management of reconstruction programmes and the management measures which have proved effective in mitigating these issues and achieving the desired BBB outcomes. The framework highlights the strategic importance of preparedness measures that should be taken before the next disaster strikes and the cross-cutting nature of capacity building and beneficiary community engagement measures that are essential to all stages of the post-disaster reconstruction process. The research findings are limited to developing countries, as the evidence on which they are based is almost entirely from post-disaster housing experiences in the developing world. The framework may, however, be adapted to different, specific post-disaster reconstruction contexts. This research has compiled, extended and up-dated current knowledge regarding the management of housing reconstruction programmes and it provides practical guidance for policy makers and practitioners.


2009 ◽  
Vol 54 (181) ◽  
pp. 55-91
Author(s):  
Radovan Kovacevic

This paper analyses the world merchandise trade structure and the structure of Serbian merchandise exports. The analysis shows that the prominent characteristic of post-World War II world trade is more dynamic growth in the volume of manufactured goods as compared to agricultural goods. Due to the lessening share of agricultural products world merchandise trade has decreased and rapid industrialization has been fostered in developing countries. An increased share for developing countries followed the developed countries' decreasing share in world manufacturing trade. The developing countries' increased share was strongest in telecom and office equipment exports. These sectors are characterized by production fragmentation, which is being realized by transnational companies. Serbia, like the other South East European countries, has not yet managed to significantly integrate into international production networks. Serbia's most important exports are manufactured products with a low level of added value . In addition, Serbia still has a high share of primary products in its exports. A higher share of exports of goods and services in the gross domestic products (GDP) cannot be achieved without increasing imports of new technologies and equipment, i.e. without a higher investment share of the GDP. The main conclusion of this article is that the creation of a favorable investment climate and an increase in Serbia's international credit rating are the preconditions for stronger foreign direct investment (FDI), which would be the main channel for restructuring in the real sector. Creation of new small and medium enterprises (SMEs) through greenfield investment and their integration into the international production networks is the starting point for the restructuring of Serbian industrial production and merchandise export, i.e. the way of increasing the share of merchandise exports in the GDP.


2020 ◽  
Vol 9 ◽  
pp. 1792
Author(s):  
Hamid Moghaddasi ◽  
Reza Rabiei ◽  
Farkhondeh Asadi ◽  
Ali Mohammadpour

Background: The National Health Information Network (NHIN) is one of the key issues in health information systems in any country. However, the development of this network should be based on an appropriate framework. Unfortunately, the conducted projects of health information systems in the Ministry of Health of Iran do not fully comply with the concept of NHIN. The present study was aimed to develop a general framework for NHIN in Iran. Materials and Methods: In this study, in the first stage, the required information about the concept of the NHIN framework and related NHIN documents in the USA and the UK were collected based on a literature review. Then, according to the results of the first stage and with regards to the structure of the Iranian health system, a general framework for Iranian NHIN was proposed. The Delphi technique was conducted to verify the framework. Results: The proposed framework for Iranian NHIN includes three dimensions; components, principles, and architecture. Over 80% of experts have evaluated all three aspects of the framework at an acceptable scale. In total, the proposed framework has been evaluated by 83.8% of the experts at an acceptable scale. Conclusion: The proposed framework was expected to serve as the starting point for moving towards the design and creation of Iranian NHIN. At any rate, the framework could be criticized, and it could only be used for the countries whose health system is similar to the structure of the health system in Iran. [GMJ.2020;9:e1792]


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18785-e18785
Author(s):  
Isabella Batista Martins Portugal ◽  
Luis Eduardo Werneck De Carvalho ◽  
Jean Henri Schoueri ◽  
Leandro Fórnias Machado Rezende ◽  
Fernando Luiz Affonso Fonseca ◽  
...  

e18785 Background: The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted health care systems worldwide. In Brazil, the disease had its first case in the city of São Paulo, thus being the starting point and epicenter of this disease in Latin America. Neurological features are currently well recognized in COVID-19 indicating the neurotropic nature of the virus and include anosmia, myalgia, myositis, encephalitis, meningitis, cerebrovascular disease, Guillain–Barré syndrome, and post-infectious myelitis. CNS tumors though relatively rare (> 2% of all cancers) are a relevant source of cancer-related morbi-mortality worldwide. Although studies have reported higher COVID-19 severity in cancer patients, the consequences of the pandemic on health care for CNS tumors remain inconclusive and will probably be felt for decades. This study aimed to determine the impact of pandemic on the hospital admissions (HA) due to CNS tumors in the city of São Paulo, Brazil. Methods: This is a cross-sectional study of the HAs due to CNS tumors in the city of São Paulo comparing the outbreak period (January-June 2020) and a pre-pandemic corresponding period of the years 2017-2019. Data were obtained from the Brazilian Unified Health System - Hospital Information System database according to the chapter II of the International Classification of Diseases - 10th revision (ICD-10). Linear regression was used to analyze the relationship between the incidence of HAs and time (months). Results: A significant reduction in HAs due to CNS tumors was observed during the outbreak period (January-June 2020). Benign neoplasm of brain and other parts of CNS (-2, CI -2 to -1) and malignant neoplasm of brain (-5, CI -7 to -3) showed to be remarkably affected (see table). To our knowledge, this is the first scientific report of significant reduction of HAs due to CNS tumors during COVID-19 era. Conclusions: Our findings seem to be associated to delayed oncological diagnose and care to CNS tumor patients during the lockdown and health system collapse. A rebound help-seeking effect as well as more severe complications may present in the post‐pandemic. Further studies are needed to evaluate the impact of the ongoing pandemic in CNS neoplasms in order to strategically corroborate public health actions for short- and long-term implications of COVID-19 pandemic. [Table: see text]


2015 ◽  
pp. 1873-1885
Author(s):  
Jim Codling

The use of electronics has made old standards obsolete or at least “Passé.” Therefore, the question of ethics in the use of electronics has not been addressed very well. Common practices are forgotten as well as privacy and separation of work and down time. What this chapter entertains is to set up standards by which the entrepreneur can make best use of e-marketing, use of Internet, e-mails, and other electronic processes that can be used for commerce, while being sensitive to the standards that exist in differing societies and cultures. A starting point must be in distinguishing the needs and cultural standards between developed and developing countries. Another consideration must be the cultural norms of people who live in different places to include religions and moral/ethical standards.


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