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Global Health Priority-Setting – Beyond Cost-Effectiveness - Oxford Scholarship Online
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Global Health Priority-Setting: Beyond Cost-Effectiveness

Ole F. Norheim, Ezekiel J. Emanuel, and Joseph Millum


Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood c ... More

Keywords: priority-setting, global health, health spending, cost-effectiveness, fairness, inequality, universal health coverage, rationing

Bibliographic Information

Print publication date: 2019 Print ISBN-13: 9780190912765
Published to Oxford Scholarship Online: December 2019 DOI:10.1093/oso/9780190912765.001.0001


Affiliations are at time of print publication.

Ole F. Norheim, editor
Professor of Medical Ethics, University of Bergen, Norway

Ezekiel J. Emanuel, editor
Vice Provost for Global Initiatives and Levy University Professor, University of Pennsylvania

Joseph Millum, editor
Bioethicist in the Department of Bioethics & Fogarty International, National Institute of Health

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Part I Four Perspectives on Priority-Setting in Global Health

Section Editor: Ezekiel J. Emanuel

1 Introduction

Ezekiel J. Emanuel

2 A Developing Country Perspective

Addis Tamire Woldemariam

3 Priorities at the Bedside

Ingrid Miljeteig, Addisu Melkie, Frehiwot Berhane Defaye, Ermias Dessie, and Kristine Husøy Onarheim

Part II Four Systematic Approaches to Priority-Setting

Section editors: Stéphane Verguet and Dean T. Jamison

5 Cost-Effectiveness Analysis

Jeremy A. Lauer, Alec Morton, and Melanie Bertram

6 Extended Cost-Effectiveness Analysis

Stéphane Verguet, Mieraf Taddesse Tolla, Solomon Tessema Memirie, and Dean T. Jamison

7 Benefit-Cost Analysis

Lisa A. Robinson and James K. Hammitt

8 Social Welfare Functions

Matthew D. Adler

Part III Distributional Concerns

Section editors: Ole F. Norheim and Trygve Ottersen

10 Inequality in Survival

Dean T. Jamison, Julian C. Jamison, Ole F. Norheim, and Stéphane Verguet

11 Incorporating Distributional Concerns into Practical Tools for Priority-Setting

Ole F. Norheim, Trygve Ottersen, Mieraf Taddesse Tolla, Solomon Tessema Memirie, and Kjell Arne Johansson

Part IV Reconceptualizing Outcomes

Section editors: Kjell Arne Johansson and Joseph Millumi

14 Age and the Disvalue of Death

Joseph Millum, Espen Gamlund, Emery Ngamasana, and Carl Tollef Solberg

Part V Process and Practice

Section editor: Jennifer Prah Ruger

15 Building Institutions for Priority-Setting

Amanda Glassman, Kalipso Chalkidou, Ursula Giedion, Yot Teerawattananon, and Rachel Silverman

16 The Role of Public Engagement in Priority-Setting

Matthew S. McCoy, Harald Schmidt, Jennifer Prah Ruger, and Marion Danis

Part VI Conclusion: Where Do We Go from Here?

18 The Future of Priority-Setting in Global Health

Trygve Ottersen, Joseph Millum, Jennifer Prah Ruger, Stéphane Verguet, Kjell Arne Johansson, Ezekiel J. Emanuel, Dean T. Jamison, Ole F. Norheim

End Matter