Priority-setting institutions in health: Recommendations from a center for global development working group

Amanda Glassman, Kalipso Chalkidou, Ursula Giedion, Yot Teerawattananon, Sean Tunis, Jesse B. Bump, Andres Pichon-Riviere

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


The rationing problem is common to all health systems - the challenge of managing finite resources to address unlimited demand for services. In most low- and middle-income countries, rationing occurs as an ad hoc, haphazard series of nontransparent choices that reflect the competing interests of governments, donors, and other stakeholders. Yet in a growing number of countries, more explicit processes, with strengths and limitations, are under development that merit better support. Against this background, the purpose of the Center for Global Development Working Group, which is to examine how priorities are set currently, and to propose institutional arrangements that promote country ownership and improve health outcomes by more systematically managing this complex process of politics and economics, is discussed. Current global and national priority-setting practices in low- and middle-income countries, the potential for strengthened national institutions, and increased global support are reviewed. Recommendations for action are provided.

Original languageEnglish (US)
Pages (from-to)13-34
Number of pages22
JournalGlobal Heart
Issue number1
StatePublished - 2012
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology
  • Community and Home Care


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