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Investing in Health Wisely: The Role of Needs-based Technology Assessment

Published online by Cambridge University Press:  10 March 2009

Dean T. Jamison ,
Helen Saxenian  and
Yves Bergevin
Dean T. Jamison
Affiliation:
University of California, Los Angeles and The World Bank
Helen Saxenian
Affiliation:
The World Bank
Yves Bergevin
Affiliation:
Canadian International Development Agency and McGill University
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Abstract

Countries worldwide spend huge sums on health—about $1,700 billion a year, or roughly 8% of global income. But the World Development Report 1993: Investing in Health shows that these monies could be spent much more wisely, in the process doing a great deal to help the world's 1 billion poor. Essential national public health and clinical packages are proposed based on assessment of the burden of disease (measured in disability adjusted life years) and the cost-effectiveness of interventions. Governments can play a central role in improving the health of their citizens: they can foster an environment that enables households to improve health and they can also improve their own spending on health, targeting it to support universal access to essential national public health and clinical packages based on the above methods. This is a good example of the concept of needs-based technology assessment, combining the disciplines of epidemiology, economics, and policy formulation. When applied, it should lead to improved effectiveness, efficiency, and equity.

Type
Special Section: Needs-Based Technology Assessment: Who Can Afford Not to Use It?
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 4 , Fall 1995 , pp. 673 - 684
Copyright
Copyright © Cambridge University Press 1995

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