What question did this study set out to answer?

To evaluate different measurement options within the System of Health Accounts 2011 framework for systematic monitoring of primary healthcare expenditure in developing nations.

February 21, 2019BMJ Global HealthOpen Access

Measuring primary healthcare expenditure in low-income and lower middle-income countries

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Authors

NMNathalie Vande Maele KXKe XuSiena College ASAgnès SoucatAgence française de développement

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Implication

Cross-sectional analysis shows substantial variation in primary healthcare spending across lower-income nations, highlighting significant challenges for standardized expenditure tracking.

Key Points

To evaluate different measurement options within the System of Health Accounts 2011 framework for systematic monitoring of primary healthcare expenditure in developing nations.
Analyzed national health accounts data from 36 low-income and middle-income countries collected between 2011 and 2016.
Applied a 'first-contact' operational definition across healthcare function and provider classifications using the System of Health Accounts 2011 framework.
Conducted sensitivity and correlation analyses to evaluate discrepancies driven by the inclusion or exclusion of medical goods and specific provider types.
Per-capita primary healthcare expenditure varied widely across nations and measurement definitions, ranging from US$15 to US$60.
Sensitivity analysis revealed that the inclusion or exclusion of medical goods drastically shifted expenditure levels, though cross-country rank correlations remained strong.
Systematic monitoring remains constrained by the lack of a standardized operational definition of primary care and insufficient granularity in national spending data.

Cite This Study

Maele et al. (2019) studied this question.

synapsesocial.com/papers/6a74d6f81078cf7de2b1df17 https://doi.org/10.1136/bmjgh-2019-001497

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Implication

Cross-sectional analysis shows substantial variation in primary healthcare spending across lower-income nations, highlighting significant challenges for standardized expenditure tracking.

Measuring primary healthcare expenditure in low-income and lower middle-income countries

Discussion

Member takes

Implication

Key Points

Cite This Study

Measuring primary healthcare expenditure in low-income and lower middle-income countries

Discussion

Member takes

Implication

Key Points

Cite This Study

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