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Measuring the value of public health systems: The disconnect between health economists and public health practitioners

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  • Neumann, P.J.
  • Jacobson, P.D.
  • Palmer, J.A.

Abstract

We investigated ways of defining and measuring the value of services provided by governmental public health systems. Our data sources included literature syntheses and qualitative interviews of public health professionals. Our examination of the health economic literature revealed growing attempts to measure value of public health services explicitly, but few studies have addressed systems or infrastructure. Interview responses demonstrated no consensus on metrics and no connection to the academic literature. Key challenges for practitioners include developing rigorous, data-driven methods and skilled staff; being politically willing to base allocation decisions on economic evaluation; and developing metrics to capture "intangibles" (e.g., social justice and reassurance value). Academic researchers evaluating the economics of public health investments should increase focus on the working needs of public health professionals.

Suggested Citation

  • Neumann, P.J. & Jacobson, P.D. & Palmer, J.A., 2008. "Measuring the value of public health systems: The disconnect between health economists and public health practitioners," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2173-2180.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.127134_4
    DOI: 10.2105/AJPH.2007.127134
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    Cited by:

    1. Luca Gori & Cristiana Mammana & Piero Manfredi & Elisabetta Michetti, 2022. "Economic development with deadly communicable diseases and public prevention," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 24(5), pages 912-943, October.
    2. Tarik Benmarhnia & Pierre-Alexandre Dionne & Éric Tchouaket & Alvine K. Fansi & Astrid Brousselle, 2017. "Investing in a healthy lifestyle strategy: is it worth it?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 3-13, January.
    3. Dukhanin, Vadim & Searle, Alexandra & Zwerling, Alice & Dowdy, David W. & Taylor, Holly A. & Merritt, Maria W., 2018. "Integrating social justice concerns into economic evaluation for healthcare and public health: A systematic review," Social Science & Medicine, Elsevier, vol. 198(C), pages 27-35.

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