Gabriel Seidman|Rifat Atun
Does task shifting yield cost savings and improve efficiency for health systems? A systematic review of evidence from low-income and middle-income countries
Harvard Global Health Institute|Harvard Global Health Institute
task shifting become increasingly popular way increase access health services especially lowresource settings research demonstrated task shifting including use community health workers chws deliver care improve population health systematic review investigates whether task shifting lowincome middleincome countries lmics results efficiency improvements achieving cost savingsusing prisma guidelines systematic reviews searched pubmed embase cinahl health economic evaluation database march 22 2016 included original peerreview articles demonstrated cost impact task shifting program lmicwe identified 794 articles 34 included study found substantial evidence exists achieving cost savings efficiency improvements task shifting activities related tuberculosis hivaids additional evidence exists potential achieve cost savings activities related malaria ncds ntds childhood illness disease areas especially primary health care community levelstask shifting presents viable option health system cost savings lmics going forward program planners carefully consider whether task shifting improve population health health systems efficiency countries researchers investigate whether task shifting also achieve cost savings activities related emerging global health priorities health systems strengthening activities supply chain management monitoring evaluation