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  1. Book: Global health priority-setting

    Norheim, Ole Frithjof / Emanuel, Ezekiel J. / Millum, Joseph

    beyond cost-effectiveness

    2020  

    Abstract: Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development ...

    Author's details edited by Ole F. Norheim, Ezekiel J. Emanuel, and Joseph Millum
    Abstract Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood cancer, or expanding treatment for HIV/AIDS? Should health coverage decisions take into account the effects of illness on productivity, household finances, and children's educational attainment, or just focus on health outcomes? Does age matter for priority setting or should it be ignored? Arehealth gains far in the future less important than gains in the present? Should higher priority be given to people who are sicker or poorer? Global Health Priority-Setting provides a framework for how to think about evidence-based priority-setting in health. Over 18 chapters, ethicists, philosophers, economists, policy-makers, and clinicians from around the world assess the state of current practice in national and global priority setting, describe new tools and methodologies to address establishing global health priorities, and tackle the most important ethical questions that decision-makers must consider in allocatinghealth resources.
    Keywords Public health & preventive medicine ; Health systems & services
    Language English
    Size xx, 340 Seiten, Illustrationen
    Publisher Oxford University Press
    Publishing place New York
    Publishing country United States
    Document type Book
    HBZ-ID HT020425692
    ISBN 978-0-19-091276-5 ; 0-19-091276-6
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2020 A 521 available for loan (reading room) Lesesaal EG

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  2. Article ; Online: Fair pathways to net-zero healthcare.

    Bhopal, Anand / Norheim, Ole F

    Nature medicine

    2023  Volume 29, Issue 5, Page(s) 1078–1084

    Abstract: Over the past decade, it has become clear that the health sector is not only at risk from climate change but also a major polluter of greenhouse gases. In November 2021, the World Health Organization and partners launched the COP26 Health Programme for ... ...

    Abstract Over the past decade, it has become clear that the health sector is not only at risk from climate change but also a major polluter of greenhouse gases. In November 2021, the World Health Organization and partners launched the COP26 Health Programme for sustainable, climate-resilient and low-carbon health systems, and have since established the Alliance for Transformative Action on Climate and Health to support its implementation. Given the wide variation in health financing, carbon emissions and unmet health needs across the world, fair sharing of the remaining carbon budget and health gains will be critical. In this Perspective, we explore the challenges and opportunities of healthcare decarbonization, outlining the principles of fair pathways to net-zero healthcare that are attentive to health and socioeconomic inequalities within and between countries.
    MeSH term(s) Carbon ; Delivery of Health Care ; World Health Organization ; Humans
    Chemical Substances Carbon (7440-44-0)
    Language English
    Publishing date 2023-05-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-023-02351-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4212: Show issues Location:
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  3. Article ; Online: Publisher Correction: Protecting the population with immune individuals.

    Norheim, Ole F

    Nature medicine

    2020  Volume 26, Issue 9, Page(s) 1494

    Abstract: An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

    Abstract An amendment to this paper has been published and can be accessed via a link at the top of the paper.
    Keywords covid19
    Language English
    Publishing date 2020-08-17
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-020-1056-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Role of HTA for Essential Health Benefit Package Design in Low or Middle-Income Countries.

    Norheim, Ole F / Watkins, David A

    Health systems and reform

    2023  Volume 9, Issue 3, Page(s) 2273051

    Abstract: This Commentary explores the relationship between Health Technology Assessment (HTA) and Health Benefits Package (HBP) design to achieve Universal Health Coverage (UHC) in low- and middle-income countries. It emphasizes that while HTA evaluates ... ...

    Abstract This Commentary explores the relationship between Health Technology Assessment (HTA) and Health Benefits Package (HBP) design to achieve Universal Health Coverage (UHC) in low- and middle-income countries. It emphasizes that while HTA evaluates individual healthcare interventions, HBP reform aims to create comprehensive service sets considering overall population health needs and available resources. Challenges in LMICs include limited local data and technical capacity, leading to reliance on cost-effectiveness estimates from other settings. We suggest a practical approach by combining HTA and HBP elements through a hybrid or compartmentalized method. This approach sets differentiated cost-effectiveness thresholds for specific healthcare platforms or programs (e.g., primary care or essential surgery), aligning priority-setting with organizational considerations, ethics, and implementation strategies. Strong institutions and academic support are vital for evidence-informed priority-setting processes. In summary, HTA can play a pivotal role in designing HBPs for UHC in LMICs, and a compartmentalized approach can enhance priority-setting while considering budget constraints and equity.
    MeSH term(s) Humans ; Technology Assessment, Biomedical ; Developing Countries ; Delivery of Health Care ; Budgets
    Language English
    Publishing date 2023-11-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2820935-7
    ISSN 2328-8620 ; 2328-8620
    ISSN (online) 2328-8620
    ISSN 2328-8620
    DOI 10.1080/23288604.2023.2273051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Protecting the population with immune individuals.

    Norheim, Ole F

    Nature medicine

    2019  Volume 26, Issue 6, Page(s) 823–824

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Epidemics ; Humans ; Immunity, Herd ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2019-12-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-020-0896-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  6. Article ; Online: Priority Setting on the Path to UHC: Time for Stronger Institutions and Stronger Health Systems: Response to Recent Commentaries.

    Norheim, Ole F

    International journal of health policy and management

    2019  Volume 8, Issue 8, Page(s) 511–513

    MeSH term(s) Health Policy ; Humans ; Universal Health Insurance
    Language English
    Publishing date 2019-08-01
    Publishing country Iran
    Document type Letter ; Comment
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.15171/ijhpm.2019.39
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: 93:oral Priority setting and net zero healthcare

    Anand Bhopal / Ole F Norheim

    BMJ Global Health, Vol 7, Iss Suppl

    how much health can a tonne of carbon buy?

    2022  Volume 2

    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Incidence and determinants of out-of-pocket health expenditure in Ethiopia 2012-16.

    Zewde, Israel Fekade / Kedir, Abbi / Norheim, Ole F

    Health policy and planning

    2023  Volume 38, Issue 10, Page(s) 1131–1138

    Abstract: This study assesses the incidence of catastrophic health expenditure (CHE) and identifies the significant factors that expose households to higher levels of out-of-pocket (OOP) health expenditure. Data from the fifth and the sixth Ethiopian National ... ...

    Abstract This study assesses the incidence of catastrophic health expenditure (CHE) and identifies the significant factors that expose households to higher levels of out-of-pocket (OOP) health expenditure. Data from the fifth and the sixth Ethiopian National Health Accounts household surveys, which were conducted in 2012-13 and 2015-16, respectively, are used. The incidence of CHE is estimated using both the capacity-to-pay and the budget share approaches. To ensure the robustness of our findings, both unconditional and conditional quantile estimators are adopted as multivariate regression techniques to estimate the impact of socio-economic variables on the distribution of households' OOP expenditure. Our findings show that the incidence of CHE in Ethiopia ranges from 1.7% to 4.7% depending on the approach and the threshold adopted. Larger families, the unemployed, the extremely poor, those who seek care at private-owned providers and families with members affected by chronic illness face higher OOP expenditure. Hence, policy should target those with these identified socio-economic characteristics in the provision of financial risk protection such as fee waiver systems and subsidies.
    MeSH term(s) Humans ; Health Expenditures ; Poverty ; Ethiopia ; Incidence ; Family Characteristics ; Catastrophic Illness
    Language English
    Publishing date 2023-09-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 632896-9
    ISSN 1460-2237 ; 0268-1080
    ISSN (online) 1460-2237
    ISSN 0268-1080
    DOI 10.1093/heapol/czad080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Balancing the health benefits and climate mortality costs of haemodialysis.

    Bhopal, Anand / Sharma, Siddhanth / Norheim, Ole F

    Future healthcare journal

    2023  Volume 10, Issue 3, Page(s) 308–312

    Abstract: Extensive work is underway to quantify the carbon footprint of specific healthcare interventions and identify ways to minimise healthcare-related emissions; however, it remains unclear how to balance the relative benefits from delivering healthcare with ... ...

    Abstract Extensive work is underway to quantify the carbon footprint of specific healthcare interventions and identify ways to minimise healthcare-related emissions; however, it remains unclear how to balance the relative benefits from delivering healthcare with the harm from the associated carbon footprint. To estimate emissions-related harms, we used the Mortality Cost of Carbon, a recently developed metric from environmental economics, which presents the impacts of carbon emissions in the form of excess deaths. We convert deaths into years of life lost and compare this with the healthy life years gained, under two temperature scenarios: 'Dynamic Integrated Climate Economy Model with an Endogenous Mortality Response' (DICE-EMR) (2.4°C) and 'DICE-Baseline' (4.1°C). As a case study, we use haemodialysis, a life-prolonging intervention with a large carbon footprint. We estimate that 19-53 and 10-25 healthy life years are gained from haemodialysis per year of life lost from the associated emissions in the DICE-EMR and DICE-Baseline scenarios, respectively, depending on the country and treatment regimen. This brings the distribution of harms, benefits and tradeoffs inherent to the decarbonisation of healthcare into sharper focus. More fully accounting for the harm imposed by carbon emissions could result in better value investments to lower the carbon footprint of interventions and support the implementation of the net-zero healthcare agenda.
    Language English
    Publishing date 2023-12-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 3016427-8
    ISSN 2514-6653 ; 2514-6645
    ISSN (online) 2514-6653
    ISSN 2514-6645
    DOI 10.7861/fhj.2022-0127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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