Primary health care expenditure in the Americas: measuring what matters
This special report compares the measurement of primary health care (PHC) expenditure proposed by the Organization for Economic Cooperation and Development (OECD) and by the World Health Organization (WHO), according to the global framework for reporting health expenditures (SHA 2011) in three count...
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
2022-06-01
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| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | https://iris.paho.org/handle/10665.2/56088 |
| _version_ | 1811343893787049984 |
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| author | Magdalena Rathe Patricia Hernández-Peña Claudia Pescetto Cornelis Van Mosseveld Maria Angélica Borges dos Santos Laura Rivas |
| author_facet | Magdalena Rathe Patricia Hernández-Peña Claudia Pescetto Cornelis Van Mosseveld Maria Angélica Borges dos Santos Laura Rivas |
| author_sort | Magdalena Rathe |
| collection | DOAJ |
| description | This special report compares the measurement of primary health care (PHC) expenditure proposed by the Organization for Economic Cooperation and Development (OECD) and by the World Health Organization (WHO), according to the global framework for reporting health expenditures (SHA 2011) in three countries in the Region of the Americas. There are conceptual differences: (1) operationalization as basic care, by OECD, versus first contact, by WHO; (2) a wider range of goods and services in the WHO definition (including medicines, administration, and collective preventive services); and (3) consideration only of services in outpatient providers by OECD. PHC expenditures as a percentage of current healthcare spending in 2017 for WHO and OECD: Mexico (43.6% vs. 15.1%); Dominican Republic (41.1% vs. 5.75%), and Costa Rica (31.4% vs. 5.7%). The broad WHO definition of PHC as first contact facilitates inclusion of services that reflect the way countries provide care to their populations. Even so, WHO could improve its category descriptions for the purposes of international comparison. Restricting PHC to outpatient providers (as the OECD does) greatly limits measurement and excludes interventions intrinsic to the concept of PHC, such as collective preventive services. As a transitional step, we recommend that countries should monitor PHC funding and should explain what they include in their definition. SHA 2011 makes it possible to identify and compare these differences. |
| first_indexed | 2024-04-13T19:38:12Z |
| format | Article |
| id | doaj.art-b98ecd55c9a04bc3a9b474505c6914cf |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-04-13T19:38:12Z |
| publishDate | 2022-06-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-b98ecd55c9a04bc3a9b474505c6914cf2022-12-22T02:32:58ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482022-06-0146701710.26633/RPSP.2022.70rpspPrimary health care expenditure in the Americas: measuring what mattersMagdalena Rathe0Patricia Hernández-Peña1Claudia Pescetto2Cornelis Van Mosseveld3Maria Angélica Borges dos Santos4Laura Rivas5Fundación Plenitud, Santo Domingo, Dominican Republic, Magdalena RatheConsultant, Amsterdam, Netherlands.Pan American Health Organization, Washington, DC, United States of America.Consultant, The Hague, Netherlands.Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.World Health Organization, Geneva, SwitzerlandThis special report compares the measurement of primary health care (PHC) expenditure proposed by the Organization for Economic Cooperation and Development (OECD) and by the World Health Organization (WHO), according to the global framework for reporting health expenditures (SHA 2011) in three countries in the Region of the Americas. There are conceptual differences: (1) operationalization as basic care, by OECD, versus first contact, by WHO; (2) a wider range of goods and services in the WHO definition (including medicines, administration, and collective preventive services); and (3) consideration only of services in outpatient providers by OECD. PHC expenditures as a percentage of current healthcare spending in 2017 for WHO and OECD: Mexico (43.6% vs. 15.1%); Dominican Republic (41.1% vs. 5.75%), and Costa Rica (31.4% vs. 5.7%). The broad WHO definition of PHC as first contact facilitates inclusion of services that reflect the way countries provide care to their populations. Even so, WHO could improve its category descriptions for the purposes of international comparison. Restricting PHC to outpatient providers (as the OECD does) greatly limits measurement and excludes interventions intrinsic to the concept of PHC, such as collective preventive services. As a transitional step, we recommend that countries should monitor PHC funding and should explain what they include in their definition. SHA 2011 makes it possible to identify and compare these differences.https://iris.paho.org/handle/10665.2/56088primary health carehealth expendituresmeasurements, methods, and theories |
| spellingShingle | Magdalena Rathe Patricia Hernández-Peña Claudia Pescetto Cornelis Van Mosseveld Maria Angélica Borges dos Santos Laura Rivas Primary health care expenditure in the Americas: measuring what matters Revista Panamericana de Salud Pública primary health care health expenditures measurements, methods, and theories |
| title | Primary health care expenditure in the Americas: measuring what matters |
| title_full | Primary health care expenditure in the Americas: measuring what matters |
| title_fullStr | Primary health care expenditure in the Americas: measuring what matters |
| title_full_unstemmed | Primary health care expenditure in the Americas: measuring what matters |
| title_short | Primary health care expenditure in the Americas: measuring what matters |
| title_sort | primary health care expenditure in the americas measuring what matters |
| topic | primary health care health expenditures measurements, methods, and theories |
| url | https://iris.paho.org/handle/10665.2/56088 |
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