Titre :
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Measuring the Value of Public Health Systems : The Disconnect Between Health Economists and Public Health Practitioners. (2008)
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Auteurs :
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NEUMANN (Peter-J) : USA. Tufts University School of Medicine. Boston. ;
JACOBSON (Peter-D) : USA. School of Public Health. University of Michigan. Ann Arbor. ;
Jennifer-A PALMER ;
Center for the Evaluation of Value and Risk in Health. Tufts Medical Center. Boston. MA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 98, n° 12, 2008)
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Pagination :
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2173-2180
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Langues:
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Anglais
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Mots-clés :
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Système santé
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS pHR0xp7C. Diffusion soumise à autorisation]. We investigated ways of defining and measuring the value of services provided by governmental public health systems. Our data sources included literature syntheses and qualitative interviews of public health professionals. Our examination of the health economic literature revealed growing attempts to measure value of public health services explicitly, but few studies have addressed systems or infrastructure. Interview responses demonstrated no consensus on metrics and no connection to the academic literature. Key challenges for practitioners include developing rigorous, data-driven methods and skilled staff ; being politically willing to base allocation decisions on economic evaluation ; and developing metrics to capture "intangibles" (e.g., social justice and reassurance value). Academic researchers evaluating the economics of public health investments should increase focus on the working needs of public health professionals.
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