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A review of appropriate indicators for need-based financial resource allocation in health systems

BACKGROUND: Optimal, need-based, and equitable allocation of financial resources is one of the most important concerns of health systems worldwide. Fulfilling this goal requires considering various criteria when allocating resources. The present study was conducted to identify the need indicators us...

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Autores principales: Radinmanesh, Maryam, Ebadifard Azar, Farbod, aghaei Hashjin, Asgar, Najafi, Behzad, Majdzadeh, Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268397/
https://www.ncbi.nlm.nih.gov/pubmed/34243784
http://dx.doi.org/10.1186/s12913-021-06522-0
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author Radinmanesh, Maryam
Ebadifard Azar, Farbod
aghaei Hashjin, Asgar
Najafi, Behzad
Majdzadeh, Reza
author_facet Radinmanesh, Maryam
Ebadifard Azar, Farbod
aghaei Hashjin, Asgar
Najafi, Behzad
Majdzadeh, Reza
author_sort Radinmanesh, Maryam
collection PubMed
description BACKGROUND: Optimal, need-based, and equitable allocation of financial resources is one of the most important concerns of health systems worldwide. Fulfilling this goal requires considering various criteria when allocating resources. The present study was conducted to identify the need indicators used to allocate health resources in different countries worldwide. METHODS: A systematic review conducted on all published articles and reports on the need-based allocation of health financial resources in the English language from 1990 to 2020 in databases, including PubMed, Cochrane, and Scopus as well as those in Persian language databases, including magiran, SID, and Google and Google scholar search engines. After performing different stages of screening, appropriate studies were identified and their information were extracted independently by two people, which were then controlled by a third person. The extracted data were finally analyzed by content analysis method using MAXQDA 10 software. RESULT: This search yielded 823 studies, of which 29 were included for the final review. The findings indicated that many need-based resource allocation formulas attempt to deal with health care needs using some weighting methods for individuals. In this regard, the most commonly used indicators were found as follows: age, gender, socio-economic status or deprivation, ethnicity, standardized mortality ratio (SMR), the modified health indicators (disease consequences, self-assessed health, and disability), geographical area / place of residence (geographical) (rural versus urban), cross-boundary flows, cost of services, and donations. CONCLUSION: The indicators used in allocating the health systems’ financial resources in each country should be designed in order to be simple and transparent and in accordance with the moral norms of that society. Moreover, these should be a good representative of the health needs of people in different geographical areas of that country. In addition, their related data should be available to an acceptable extent.
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spelling pubmed-82683972021-07-09 A review of appropriate indicators for need-based financial resource allocation in health systems Radinmanesh, Maryam Ebadifard Azar, Farbod aghaei Hashjin, Asgar Najafi, Behzad Majdzadeh, Reza BMC Health Serv Res Research Article BACKGROUND: Optimal, need-based, and equitable allocation of financial resources is one of the most important concerns of health systems worldwide. Fulfilling this goal requires considering various criteria when allocating resources. The present study was conducted to identify the need indicators used to allocate health resources in different countries worldwide. METHODS: A systematic review conducted on all published articles and reports on the need-based allocation of health financial resources in the English language from 1990 to 2020 in databases, including PubMed, Cochrane, and Scopus as well as those in Persian language databases, including magiran, SID, and Google and Google scholar search engines. After performing different stages of screening, appropriate studies were identified and their information were extracted independently by two people, which were then controlled by a third person. The extracted data were finally analyzed by content analysis method using MAXQDA 10 software. RESULT: This search yielded 823 studies, of which 29 were included for the final review. The findings indicated that many need-based resource allocation formulas attempt to deal with health care needs using some weighting methods for individuals. In this regard, the most commonly used indicators were found as follows: age, gender, socio-economic status or deprivation, ethnicity, standardized mortality ratio (SMR), the modified health indicators (disease consequences, self-assessed health, and disability), geographical area / place of residence (geographical) (rural versus urban), cross-boundary flows, cost of services, and donations. CONCLUSION: The indicators used in allocating the health systems’ financial resources in each country should be designed in order to be simple and transparent and in accordance with the moral norms of that society. Moreover, these should be a good representative of the health needs of people in different geographical areas of that country. In addition, their related data should be available to an acceptable extent. BioMed Central 2021-07-09 /pmc/articles/PMC8268397/ /pubmed/34243784 http://dx.doi.org/10.1186/s12913-021-06522-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Radinmanesh, Maryam
Ebadifard Azar, Farbod
aghaei Hashjin, Asgar
Najafi, Behzad
Majdzadeh, Reza
A review of appropriate indicators for need-based financial resource allocation in health systems
title A review of appropriate indicators for need-based financial resource allocation in health systems
title_full A review of appropriate indicators for need-based financial resource allocation in health systems
title_fullStr A review of appropriate indicators for need-based financial resource allocation in health systems
title_full_unstemmed A review of appropriate indicators for need-based financial resource allocation in health systems
title_short A review of appropriate indicators for need-based financial resource allocation in health systems
title_sort review of appropriate indicators for need-based financial resource allocation in health systems
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268397/
https://www.ncbi.nlm.nih.gov/pubmed/34243784
http://dx.doi.org/10.1186/s12913-021-06522-0
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