Reducing government expenditure on tertiary health facilities
- Limiting highly specialized public medical care
Description
Excluding from essential clinical services health services with very low cost-effectiveness. Examples include heart surgery; treatment (other than pain relief) of highly fatal cancers of the lung, liver and stomach; expensive drug therapies for HIV infection; and intensive care for severely premature babies.
Context
Very few cost-effective interventions depend on sophisticated hospitals and specialized physicians.
Implementation
In the 1980s Papua New Guinea, to correct over-concentration of resources on higher-level facilities, limited public spending on hospitals to 40% of the recurrent budget of the Ministry of Health – well below the level in most developing countries.
Claim
Governments in developing countries should spend at least 50% less that they now do on less cost-effective interventions and instead double or triple spending on basic public health programmes such as immunizations and on essential clinical services.
Broader
Constrains
Facilitates
Facilitated by
Related
Problem
Value
SDG
Metadata
- Commerce » Finance
- Health care » Health
- Health care » Care
- Education » Secondary and higher education
- Government » Government
- Government » Public