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Selective primary health care: Is efficient sufficient?

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  • Berman, Peter A.

Abstract

Developing countries are increasingly using economic evaluation methods to assess and plan their health services. Inappropriate application of these methods may lead to serious errors in developing primary health care strategies. In 'Selective Primary Health Care', Julia Walsh and Kenneth Warren present a logical approach to health planning based on cost-effectiveness techniques. Their paper is a timely example of the risks of using simple technical criteria to plan solutions to complex public health problems. Cost-effectiveness is not a sufficient criterion for planning primary health care. Related issues are discussed in these comments. As an alternative, a multiple-objective approach is suggested.

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  • Berman, Peter A., 1982. "Selective primary health care: Is efficient sufficient?," Social Science & Medicine, Elsevier, vol. 16(10), pages 1054-1059, January.
    • Handle: RePEc:eee:socmed:v:16:y:1982:i:10:p:1054-1059
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    Cited by:

    1. Flessa, Steffen, 2003. "Priorities and allocation of health care resources in developing countries: A case-study from the Mtwara region, Tanzania," European Journal of Operational Research, Elsevier, vol. 150(1), pages 67-80, October.
    2. Fox-Rushby, Julia A. & Foord, Frances, 1996. "Costs, effects and cost-effectiveness analysis of a mobile maternal health care service in West Kiang, The Gambia," Health Policy, Elsevier, vol. 35(2), pages 123-143, February.

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