An Ethical Analysis of International Health Priority-Setting

An Ethical Analysis of International Health Priority-Setting Health care systems throughout the developed world face ‘crises’ of quality, financing and sustainability. These pressures have led governments to look for more efficient and equitable ways to allocate public resources. Prioritisation of health care services for public funding has been one of the strategies used by decision makers to reconcile growing health care demands with limited resources. Priority setting at the macro level has yet to demonstrate real successes. This paper describes international approaches to explicit prioritisation at the macro-governmental level in the six experiences most published in the English literature; analyzes the ways in which values, principles and other normative concepts were presented in these international priority setting experiences; and identifies key elements of a more robust framework for ethical analysis which could promote meaningful and effective health priority setting. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Health Care Analysis Springer Journals

An Ethical Analysis of International Health Priority-Setting

Health Care Analysis, Volume 16 (2) – Aug 15, 2007

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Publisher
Springer Journals
Copyright
Copyright © 2007 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Public Health; Philosophy of Medicine; Ethics; Health Informatics
ISSN
1065-3058
eISSN
1573-3394
DOI
10.1007/s10728-007-0065-5
Publisher site
See Article on Publisher Site

Abstract

Health care systems throughout the developed world face ‘crises’ of quality, financing and sustainability. These pressures have led governments to look for more efficient and equitable ways to allocate public resources. Prioritisation of health care services for public funding has been one of the strategies used by decision makers to reconcile growing health care demands with limited resources. Priority setting at the macro level has yet to demonstrate real successes. This paper describes international approaches to explicit prioritisation at the macro-governmental level in the six experiences most published in the English literature; analyzes the ways in which values, principles and other normative concepts were presented in these international priority setting experiences; and identifies key elements of a more robust framework for ethical analysis which could promote meaningful and effective health priority setting.

Journal

Health Care AnalysisSpringer Journals

Published: Aug 15, 2007

References

  • Decisions on inclusion in the Swedish basic health care package-roles of cost-effectiveness and need
    Bernfort, L.
  • The national politics of Oregon’s rationing plan
    Brown, L. D.

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