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Where efficiency saves lives: A linear programme for the optimal allocation of health care resources in developing countries

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  • Steffen Flessa

Abstract

Morbidity and mortality are directly influenced by the available health care budget. In addition, the optimal allocation of this scarce resource to the different strata of the health care system depends on the health care priorities. This paper presents a linear programming model in order to analyse the impact of changes of the health care budget and the goal system of the health care system on the optimal allocation to preventive and curative medicine. The model demonstrates that the current resource allocation in developing countries is inefficient. This calls for a new emphasis on preventive medicine and primary care in the political processes in developing countries. Copyright Kluwer Academic Publishers 2000

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  • Steffen Flessa, 2000. "Where efficiency saves lives: A linear programme for the optimal allocation of health care resources in developing countries," Health Care Management Science, Springer, vol. 3(3), pages 249-267, June.
    • Handle: RePEc:kap:hcarem:v:3:y:2000:i:3:p:249-267
    DOI: 10.1023/A:1019053710258
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    References listed on IDEAS

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    1. Osama J. A. R. Abu Shair, 1997. "The Role of the State in Development," Palgrave Macmillan Books, in: Privatization and Development, chapter 2, pages 13-34, Palgrave Macmillan.
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    Cited by:

    1. Chih-Ching Yang, 2017. "Measuring health indicators and allocating health resources: a DEA-based approach," Health Care Management Science, Springer, vol. 20(3), pages 365-378, September.
    2. J P Oddoye & M A Yaghoobi & M Tamiz & D F Jones & P Schmidt, 2007. "A multi-objective model to determine efficient resource levels in a medical assessment unit," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(12), pages 1563-1573, December.
    3. Elvan Gökalp & Nalan Gülpınar & Xuan Vinh Doan, 2020. "Capacity Planning for Networks of Stem‐Cell Donation Centers under Uncertainty," Production and Operations Management, Production and Operations Management Society, vol. 29(2), pages 281-297, February.
    4. H. Koffijberg & G. A. de Wit & T. L. Feenstra, 2012. "Communicating Uncertainty in Economic Evaluations," Medical Decision Making, , vol. 32(3), pages 477-487, May.
    5. Sanjay Mehrotra & Hamed Rahimian & Masoud Barah & Fengqiao Luo & Karolina Schantz, 2020. "A model of supply‐chain decisions for resource sharing with an application to ventilator allocation to combat COVID‐19," Naval Research Logistics (NRL), John Wiley & Sons, vol. 67(5), pages 303-320, August.
    6. 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.
    7. Ahmed, Mohamed A. & Alkhamis, Talal M., 2009. "Simulation optimization for an emergency department healthcare unit in Kuwait," European Journal of Operational Research, Elsevier, vol. 198(3), pages 936-942, November.
    8. Doerner, Karl & Focke, Axel & Gutjahr, Walter J., 2007. "Multicriteria tour planning for mobile healthcare facilities in a developing country," European Journal of Operational Research, Elsevier, vol. 179(3), pages 1078-1096, June.
    9. Sérgio Santos & Carla Amado & Mauro Santos, 2012. "Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis," Health Care Management Science, Springer, vol. 15(3), pages 206-222, September.
    10. Brailsford, Sally & Vissers, Jan, 2011. "OR in healthcare: A European perspective," European Journal of Operational Research, Elsevier, vol. 212(2), pages 223-234, July.
    11. De Angelis, Vanda & Felici, Giovanni & Impelluso, Paolo, 2003. "Integrating simulation and optimisation in health care centre management," European Journal of Operational Research, Elsevier, vol. 150(1), pages 101-114, October.
    12. Lasry, Arielle & Zaric, Gregory S. & Carter, Michael W., 2007. "Multi-level resource allocation for HIV prevention: A model for developing countries," European Journal of Operational Research, Elsevier, vol. 180(2), pages 786-799, July.

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