Imperial College London
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DrRanjeetaThomas

Faculty of Medicine, School of Public Health

Honoray Lecturer
 
 
 
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Contact

 

+44 (0)20 7594 0923ranjeeta.thomas

 
 
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Location

 

LG 33AMedical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Hauck:2019:10.1016/j.socscimed.2018.10.030,
author = {Hauck, K and Morton, A and Chalkidou, K and Chi, Y-L and Culyer, A and Levin, C and Meacock, R and Over, M and Thomas, R and Vassall, A and Verguet, S and Smith, P},
doi = {10.1016/j.socscimed.2018.10.030},
journal = {Social Science and Medicine},
pages = {141--149},
title = {How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations},
url = {http://dx.doi.org/10.1016/j.socscimed.2018.10.030},
volume = {220},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Health interventions often depend on a complex system of human and capital infrastructure that is shared with other interventions, in the form of service delivery platforms, such as healthcare facilities, hospitals, or community services. Most forms of health system strengthening seek to improve the efficiency or effectiveness of such delivery platforms. This paper presents a typology of ways in which health system strengthening can improve the economic efficiency of health services. Three types of health system strengthening are identified and modelled: (1) investment in the efficiency of an existing shared platform that generates positive benefits across a range of existing interventions; (2) relaxing a capacity constraint of an existing shared platform that inhibits the optimization of existing interventions; (3) providing an entirely new shared platform that supports a number of existing or new interventions. Theoretical models are illustrated with examples, and illustrate the importance of considering the portfolio of interventions using a platform, and not just piecemeal individual analysis of those interventions. They show how it is possible to extend principles of conventional cost-effectiveness analysis to identify an optimal balance between investing in health system strengthening and expenditure on specific interventions. The models developed in this paper provide a conceptual framework for evaluating the cost-effectiveness of investments in strengthening healthcare systems and, more broadly, shed light on the role that platforms play in promoting the cost-effectiveness of different interventions.
AU  - Hauck,K
AU  - Morton,A
AU  - Chalkidou,K
AU  - Chi,Y-L
AU  - Culyer,A
AU  - Levin,C
AU  - Meacock,R
AU  - Over,M
AU  - Thomas,R
AU  - Vassall,A
AU  - Verguet,S
AU  - Smith,P
DO  - 10.1016/j.socscimed.2018.10.030
EP  - 149
PY  - 2019///
SN  - 0277-9536
SP  - 141
TI  - How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations
T2  - Social Science and Medicine
UR  - http://dx.doi.org/10.1016/j.socscimed.2018.10.030
UR  - http://hdl.handle.net/10044/1/66095
VL  - 220
ER  -
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