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Priority setting in health care: Lessons from the experiences of eight countries
Open accessAbstract
All health care systems face problems of justice and efficiency related to setting priorities for allocating a limited pool of resources to a population. Because many of the central issues are the same in all systems, the United States and other countries can learn from the successes and failures of countries that have explicitly addressed the question of health care priorities.We review explicit priority setting efforts in Norway, Sweden, Israel, the Netherlands, Denmark, New Zealand, the United Kingdom and the state of Oregon in the US. The approaches used can be divided into those centered on outlining principles versus those that define practices. In order to establish the main lessons from their experiences we consider (1) the process each country used, (2) criteria to judge the success of these efforts, (3) which approaches seem to have met these criteria, and (4) using their successes and failures as a guide, how to proceed in setting priorities. We demonstrate that there is little evidence that establishment of a values framework for priority setting has had any effect on health policy, nor is there evidence that priority setting exercises have led to the envisaged ideal of an open and participatory public involvement in decision making.
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“A wide range of approaches is taken and guidelines vary across different countries [16], illustrating that priority-setting is complex”
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Metadata
- Authors
- Sabik, L. M., & Lie, R. K.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Lie, Reidar K
- Venue
- International Journal for Equity in Health
- Published
- 2008-01-21
- Volume
- 7
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1475-9276 (ISSN-L)
- PMC
- PMC2248188
- OpenAlex
- W2077476869
- Cited by
- 312
- References
- 85
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 13 · 2023: 11 · 2022: 13 · 2021: 14 · 2020: 17 · 2019: 37 · 2018: 18 · 2017: 20 · 2016: 16 · 2015: 21 · 2014: 19 · 2013: 23 · 2012: 21
- FWCI
- 40.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal for Equity in Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- National Institutes of Health
- NIH Clinical Center
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
- Keywords
- priority setting, healthcare resource allocation, health care justice, health care efficiency, value framework, public participation in health policy, comparative health policy, health care system
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