Enhancing the comparability of costing methods: cross-country variability in the prices of non-traded inputs to health programmes

Benjamin Johns, Taghreed Adam and David B Evans, World Health Organization

Cost Effectiveness and Resource Allocation 2006, 4:8 doi:10.1186/1478-7547-4-8

Publicado em 24 Abril 2006


".....National and international policy makers have been increasing their focus on developing strategies to enable poor countries achieve the millennium development goals. This requires information on the costs of different types of health interventions and the resources needed to scale them up, either singly or in combinations.

Cost data also guides decisions about the most appropriate mix of interventions in different settings, in view of the increasing, but still limited, resources available to improve health. Many cost and cost-effectiveness studies include only the costs incurred at the point of delivery to beneficiaries, omitting those incurred at other levels of the system such as administration, media, training and overall management.

The few studies that have measured them directly suggest that they can sometimes account for a substantial proportion of total costs, so that their omission can result in biased estimates of the resources needed to run a programme or the relative cost-effectiveness of different choices.

However, prices of different inputs used in the production of health interventions can vary substantially within a country. Basing cost estimates on a single price observation runs the risk that the results are based on an outlier observation rather than the typical costs of the input....."


Mais informação:
http://www.resource-allocation.com/content/4/1/8 (external link)

Disponível online em formato pdf em:
http://www.resource-allocation.com/content/pdf/1478-7547-4-8.pdf (external link)

Fonte: Informativo PAHO 09/05/2006
http://listserv.paho.org/scripts/wa.exe?A2=ind0605&L=equidad&T=0&F=&S=&P=2177 (external link)