Abstract
BackgroundDecision makers in health care organizations struggle with how to set priorities for new technologies in medicine. Traditional approaches to priority setting for new technologies in medicine are insufficient and there is no widely accepted model that can guide decision makers.DiscussionDaniels and Sabin have developed an ethically based account about how priority setting decisions should be made. We have developed an empirically based account of how priority setting decisions are made. In this paper, we integrate these two accounts into a transdisciplinary model of priority setting for new technologies in medicine that is both ethically and empirically based.SummaryWe have developed a transdisciplinary model of priority setting that provides guidance to decision makers that they can operationalize to help address priority setting problems in their institution.
Highlights
Decision makers in health care organizations struggle with how to set priorities for new technologies in medicine
Approaches from health economics are promoted as the solution to the problem of priority setting
We develop a transdisciplinary model of health care priority setting
Summary
Accountability for reasonableness: an ethically-based account of priority setting Daniels and Sabin identify two key problems at the heart of health care priority setting: legitimacy and fairness [15]. We situated the model in the "institutions" element of the diamond model, which accords with the enforcement condition of accountability for reasonableness, and supports an operational goal of accountability This new model is a more practical and user-friendly version of accountability for reasonableness that can guide health care decision makers in actual priority setting. Adoption of the transdisciplinary http://www.biomedcentral.com/1472-6963/2/14 model would entail a less radical transformation of their institutional culture and practices than will be the case for many private institutions that have, up until this point, been under no such obligations [18] Both accountability for reasonableness and the diamond model – and the transdisciplinary model – were developed in the context of priority setting for new technologies. Journal of Health Services Research and Policy 2001, 6:163-9
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