DEFINITION AND CHARACTERISTICS FUNCTIONS AND …

Finally, strong arguments can be made that cost-effective-ness analysis fails to capture important dimensions of the indi-vidual utility and thus the social welfare that accrues fromthe provision of health services, especially those relating tohigh-cost and low-frequency are, therefore, highly skeptical about the feasibility ofproposing a formulaic and purely quantitative response to thequestion of how to achieve an appropriate allocation ofresources to the referral hospital level. Although perhaps unsat-isfying for some readers, this chapter attempts instead to providean overview of the critical features of and challenges relating toreferral hospital care in developing countries and a guide to themany issues that decision makers face in setting policy for thislevel of care. We suggest that planners need to adopt a far morequalitative and intuitive approach to deciding on the appropri-ate allocation of resources for referral hospitals than for otherhealth care interventions.

Ear, nose, and throat surgery — Gastroenterology — General medicine As regional plus: Angiography Coronary care Echocardiography, stress electrocardiogram Endoscopy, proctoscopy, sigmoidoscopy, colonoscopy (with general surgery) Genetic nurse and counseling Oncology palliation and basic care General surgery Complex and high-acuity care

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