Priority-Setting Processes for Expensive Treatments in Cardiometabolic Diseases

Authors: Yuna Sakuma, Amanda Glassman, Claudia Vaca


This chapter explores the difficulty of rationing health resources in low- and middle-income countries (LMICs), particularly for the treatment of cardiometabolic diseases. We discuss issues and dilemmas faced by policymakers in the allocation of scarce public resources for management of cardiometabolic diseases, explore how priority-setting policy instruments like national essential medicines lists can fail to influence patterns of use and spending around the world, and examine efforts to set priorities using more systematic processes in Thailand. We conclude with policy implications.



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