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Titulo |
Health policy in times of austerity-A conceptual framework for evaluating effects of policy on efficiency and equity illustrated with examples from Europe since 2008 |
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Autoría |
Wenzl M, Naci H, Mossialos E. |
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Fuente |
Health Policy. 2017 Sep;121(9):947-954. doi: 10.1016/j.healthpol.2017.07.005. Epub 2017 Jul 19. |
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Resumen |
The objective of this paper is to provide a framework for evaluation of changes in health policy against overarching health system goals. We propose a categorisation of policies into seven distinct health system domains. We then develop existing analytical concepts of insurance coverage and cost-effectiveness further to evaluate the effects of policies in each domain on equity and efficiency. The framework is illustrated with likely effects of policy changes implemented in a sample of European countries since 2008. Our illustrative analysis suggests that cost containment has been the main focus and that countries have implemented a mix of measures that are efficient or efficiency neutral. Similarly, policies are likely to have mixed effects on equity. Additional user charges were a common theme but these were frequently accompanied by additional exemptions, making their likely effects on equity difficult to evaluate. We provide a framework for future, and more detailed, evaluations of changes in health policy. |
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URL |
www.ncbi.nlm.nih.gov/pubmed/28803706 |
