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Evaluating the Cost-effectiveness of Health System Strengthening: A Platforms Perspective

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  • Peter Smith

Abstract

The recent emphasis on HSS has arisen primarily at the international level, within intergovernmental organisations (IGOs) and in the field of global health. Greater emphasis is being placed on the idea that some targeted health programmes fail because they are designed and implemented without adequately considering the characteristics of the broader health system. This is important because services within a health care system are interdependent: "vertical" programmes that address one disease or health issue require sufficiently strong "horizontal" support and coordination across various health service sectors. This relationship always has been important, but the challenges of the Ebola crises in particular in the past few years have made that clearer. Although HSS discussions often focus on low- and middle-income countries, many of the ideas apply equally to countries such as the UK, specifically in planning for the future.

Suggested Citation

  • Peter Smith, 2020. "Evaluating the Cost-effectiveness of Health System Strengthening: A Platforms Perspective," Seminar Briefing 002245, Office of Health Economics.
    • Handle: RePEc:ohe:sembri:002245
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    File URL: https://www.ohe.org/publications/evaluating-cost-effectiveness-health-system-strengthening-platforms-perspective/attachment-peter-smith-seminar-briefing-022020/
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    References listed on IDEAS

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    1. Hauck, K. & Morton, A. & Chalkidou, K. & Chi, Y-Ling & Culyer, A. & Levin, C. & Meacock, R. & Over, M. & Thomas, R. & Vassall, A. & Verguet, S. & Smith, P.C., 2019. "How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations," Social Science & Medicine, Elsevier, vol. 220(C), pages 141-149.
    2. Peter C. Smith & Winnie Yip, 2016. "The economics of health system design," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 32(1), pages 21-40.
    3. Morton, Alec & Thomas, Ranjeeta & Smith, Peter C., 2016. "Decision rules for allocation of finances to health systems strengthening," Journal of Health Economics, Elsevier, vol. 49(C), pages 97-108.
    4. Morton, Alec & Thomas, Ranjeeta & Smith, Peter C., 2016. "Decision rules for allocation of finances to health systems strengthening," LSE Research Online Documents on Economics 101206, London School of Economics and Political Science, LSE Library.
    Full references (including those not matched with items on IDEAS)

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    Keywords

    Evaluating the Cost-effectiveness of Health System Strengthening: A Platforms Perspective;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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