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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-10-30
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pubmed:abstractText |
The marginal return on health expenditure in high-income countries is low, whereas that in low-income countries is comparatively high. However, there is no clear evidence that higher health expenditure is the most cost-effective way of improving health in low-income countries; consideration should be given to the alternative of raising educational levels.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Cost Effectiveness,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Educational Status,
http://linkedlifedata.com/resource/pubmed/keyword/Evaluation,
http://linkedlifedata.com/resource/pubmed/keyword/Evaluation Indexes,
http://linkedlifedata.com/resource/pubmed/keyword/Expenditures,
http://linkedlifedata.com/resource/pubmed/keyword/Financial Activities,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Literacy,
http://linkedlifedata.com/resource/pubmed/keyword/Quantitative Evaluation,
http://linkedlifedata.com/resource/pubmed/keyword/Socioeconomic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Socioeconomic Status
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0251-2432
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
287-92
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pubmed:dateRevised |
2004-11-17
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pubmed:otherAbstract |
PIP: The author, based upon World Bank data on infant mortality, life expectancy, and years of life lost prematurely in 27 low-income and 21 high-income countries, discusses the cost-effectiveness of various outlays for better health outcomes. For every additional US$1 spent upon health per capita at the margin in low-income countries there is a decrease of one death per 1000 live births, while in high-income countries no improvement in infant mortality can be expected as a consequence of comparable expenditure. In low-income countries, the influence of educational levels upon infant mortality is much more pronounced than that of health expenditure; a 1% decrease in adult illiteracy can be expected to lead to a decline in infant mortality of 1.28 per 1000 live births. Provided that the cost of achieving such a decrease in adult illiteracy is less than $1.20 per capita, this latter approach to reducing infant mortality is more efficient than spending directly upon health. In low-income countries, an additional expenditure of $1 per capita on health together with a 1% decrease in adult illiteracy can be expected to cause an increase of approximately three months in life expectancy at birth. In high-income countries, however, life expectancy is only slightly increased by additional per capita health expenditure. Consideration should be given to raising educational levels as a way to improve health. The relative efficiencies of countries, low-income countries, and high-income countries are discussed.
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pubmed:meshHeading |
pubmed-meshheading:7546177-Adult,
pubmed-meshheading:7546177-Cost-Benefit Analysis,
pubmed-meshheading:7546177-Developing Countries,
pubmed-meshheading:7546177-Health Care Rationing,
pubmed-meshheading:7546177-Health Expenditures,
pubmed-meshheading:7546177-Humans,
pubmed-meshheading:7546177-Infant, Newborn,
pubmed-meshheading:7546177-Infant Mortality,
pubmed-meshheading:7546177-Life Expectancy,
pubmed-meshheading:7546177-Quality Assurance, Health Care
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pubmed:year |
1995
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pubmed:articleTitle |
Cost-effective outlays for better health outcomes.
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pubmed:affiliation |
Department of Health Management, Hadassah Medical School, Hebrew University, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article
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