Reducing government expenditure on tertiary health facilities
Limiting highly specialized public medical care
Excluding from essential clinical services health services with very low cost-effectiveness. Examples include heart surgery; treatment (other than pain relief) of highly fatal cancers of the lung, liver and stomach; expensive drug therapies for HIV infection; and intensive care for severely premature babies.
Very few cost-effective interventions depend on sophisticated hospitals and specialized physicians.
In the 1980s Papua New Guinea, to correct over-concentration of resources on higher-level facilities, limited public spending on hospitals to 40% of the recurrent budget of the Ministry of Health -- well below the level in most developing countries.
Governments in developing countries should spend at least 50% less that they now do on less cost-effective interventions and instead double or triple spending on basic public health programmes such as immunizations and on essential clinical services.
The Encyclopedia of World Problems and Human Potential is a unique, experimental research work of the Union of International Associations. It is currently published as a searchable online platform with profiles of world problems, action strategies, and human values that are interlinked in novel and innovative ways. These connections are based on a range of relationships such as broader and narrower scope, aggravation, relatedness and more. By concentrating on these links and relationships, the Encyclopedia is uniquely positioned to bring focus to the complex and expansive sphere of global issues and their interconnected nature.
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