Guidance on priority setting in health care (GPS-Health): The inclusion of equity criteria not captured by cost-effectiveness analysis

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Norheim, Ole Frithjof ; Baltussen, Rob ; Johri, Mira ; Chisholm, Dan ; Nord, Erik ; Brock, Dan W. ; Carlsson, Per ; Cookson, Richard ; Daniels, Norman ; Danis, Marion ; Fleurbaey, Marc ; Johansson, Kjell Arne ; Kapiriri, Lydia ; Littlejohns, Peter ; Mbeeli, Thomas ; Rao, Krishna D. ; Edejer, Tessa Tan-Torres ; Wikler, Dan (2014)
  • Publisher: BioMed Central
  • Journal: volume 12, pages 18-18 (issn: 1478-7547, eissn: 1478-7547)
  • Related identifiers: doi: 10.1186/1478-7547-12-18, doi: 10.1186/1478-7547-12-18., pmc: PMC4171087
  • Subject: Cost-effectiveness | :Medisinske fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 [VDP] | :Midical sciences: 700::Health sciences: 800::Health service and health administration research: 806 [VDP] | Resource allocation | Population health | Health Policy | 2719 | Equity | Methodology | Priority setting

This Guidance for Priority Setting in Health Care (GPS-Health), initiated by the World Health Organization, offers a comprehensive map of equity criteria that are relevant to health care priority setting and should be considered in addition to cost-effectiveness analysis. The guidance, in the form of a checklist, is especially targeted at decision makers who set priorities at national and sub-national levels, and those who interpret findings from cost-effectiveness analysis. It is also targeted at researchers conducting cost-effectiveness analysis to improve reporting of their results in the light of these other criteria. The guidance was develop through a series of expert consultation meetings and involved three steps: i) methods and normative concepts were identified through a systematic review; ii) the review findings were critically assessed in the expert consultation meetings which resulted in a draft checklist of normative criteria; iii) the checklist was validated though an extensive hearing process with input from a range of relevant stakeholders. The GPS-Health incorporates criteria related to the disease an intervention targets (severity of disease, capacity to benefit, and past health loss); characteristics of social groups an intervention targets (socioeconomic status, area of living, gender; race, ethnicity, religion and sexual orientation); and non-health consequences of an intervention (financial protection, economic productivity, and care for others). Peer Reviewed
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