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Health Reform, Equity and Primary Healthcare: Taking Off the Make-Up

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Author Info

  • Stephen Thomas

    (Health Policy and Management, Trinity College Dublin, Dublin, Ireland)

  • Okore Okorafor

    (Health Economics Unit, University of Cape Town, Cape Town, South Africa)

  • Sandi Mbatsha

    (Health Economics Unit, University of Cape Town, Cape Town, South Africa)

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    Abstract

    The prioritisation approach at the heart of the health reform movement not only failed to improve access to services for the very poor but was based on poor methods. Its notion of efficiency ignored local contexts, the interaction of interventions and local specification of needs. The authors argue that a more efficient strategy for prioritisation involves resuscitating the primary healthcare approach and its emphasis on procedural, as well as distributive, equity. A growing body of evidence supports the link between enhancing the voice of local communities and improving the allocation and impact of resources in health service provision.

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    Bibliographic Info

    Article provided by Springer Healthcare | Adis in its journal Applied Health Economics and Health Policy.

    Volume (Year): 5 (2006)
    Issue (Month): 1 ()
    Pages: 1-4
    Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
    Handle: RePEc:wkh:aheahp:v:5:y:2006:i:1:p:1-4

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    Web page: http://healtheconomics.adisonline.com/

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    Keywords: Health-policy;

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