caa a22 4500 397519915 CHVBK 20180308164629.0 cr unu---uuuuu 161202e199503 xx s 000 0 eng 10.1093/heapol/10.1.29 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.1.29 Resource allocation for public hospitals in Andhra Pradesh, India [Elektronische Daten] [PRASANTA MAHAPATRA, PETER BERMAN] The composition of the hospital sector has important implications for cost effectiveness accessibility and coverage. The classification of acute general hospitals is reviewed here with particular reference to India and Andhra Pradesh. Approaches to arrive at a norm for allocation of hospital expenditure among secondary and tertiary hospitals are discussed. The actual allocation of public sector hospital expenditures is analyzed with data from Andhra Pradesh. The shift in allocative emphasis away from hospitals and in favour of primary health care during the 1980s was found to have been equally shared by secondary and tertiary hospitals. The shares of recurrent (non-plan) expenditure to secondary and tertiary hospitals were 51% and 49% respectively. This can be compared to a derived norm of 66% and 33%. The opportunity that new investment funds (plan schemes) could have provided to rectify the expenditure bias against secondary level hospitals was missed as two-thirds of plan expenditure were also spent on tertiary level hospitals. The share of secondary hospital bed capacity was 45.5% against India's Planning Commission norm of 70%. Public spending strategies should explicitly consider what mix of hospital services is being financed as well as the balance between hospital and primary health care expenditures. © Oxford University Press Review article nationallicence MAHAPATRA PRASANTA Ministry of Health, Andhra Pradesh, India aut BERMAN PETER Harvard School of Public Health, Boston, USA aut Health Policy and Planning Oxford University Press 10/1(1995-03), 29-39 0268-1080 10:1<29 1995 10 heapol https://doi.org/10.1093/heapol/10.1.29 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.1.29 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- MAHAPATRA PRASANTA Ministry of Health, Andhra Pradesh, India aut NATIONALLICENCE 700 1- BERMAN PETER Harvard School of Public Health, Boston, USA aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/1(1995-03), 29-39 0268-1080 10:1<29 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford