Guidance on priority setting in health care (GPS-Health): The inclusion of equity criteria not captured by cost-effectiveness analysis
Norheim, Ole Frithjof
Brock, Dan W.
Johansson, Kjell Arne
Rao, Krishna D.
Edejer, Tessa Tan-Torres
- Publisher: BioMed Central
(issn: 1478-7547, eissn: 1478-7547)
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).