Priority setting in surgery: improve the process and share the learning

World Journal of Surgery
Douglas K MartinP A Singer

Abstract

Surgeons and surgical programs encounter priority-setting challenges every day, such as in regard to purchasing new technologies or managing waiting lists for elective surgery. The purpose of this paper was to explore priority setting in surgery. Traditionally in surgery, priority-setting decisions for new technologies have been based on evidence of effectiveness and cost-effectiveness; and decisions about managing waiting lists for elective surgery have been based on urgency rating scores. The fairness of priority-setting processes in surgical programs should be enhanced to permit all relevant information and values to be considered. The quality of these decisions can be improved by using an approach that captures and shares lessons from each priority-setting experience. The approach we propose in this paper- describe, evaluate, and improve using a leading conceptual framework for priority setting, called "accountability for reasonableness"-can be used by any surgical program to improve its priority setting, share lessons with others, and develop an evidence base for how these important health policy decisions should be made.

Citations

Sep 10, 2004·BMC Health Services Research·Jennifer L GibsonPeter A Singer
Oct 10, 2006·BMC Health Services Research·Lydia Kapiriri, Douglas K Martin
Jul 1, 2009·Tropical Medicine & International Health : TM & IH·Sitaporn YoungkongRob Baltussen
Jun 8, 2006·Health Policy·Nancy A WaltonPeter A Singer
Jun 1, 2006·Expert Review of Pharmacoeconomics & Outcomes Research·Angela Bate, Craig Mitton
Jun 7, 2008·Theoretical Medicine and Bioethics·Lindsay M Sabik, Reidar K Lie
Feb 10, 2007·Clinical Orthopaedics and Related Research·Angela BateHelen Ray
Nov 5, 2021·BMC Public Health·Leila DoshmangirVladimir Sergeevich Gordeev

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