Priority setting: what is it all about, and how does it work?

Die Rehabilitation
Thorsten Meyer, H Raspe

Abstract

This paper introduces the concept of priority setting in health care. Priority setting is understood as a notional approach to find out what to regard as more important or less important in health care. It primarily means to bring aspects into a ranking order. Priority setting is first and foremost theoretical work aimed at preparing decisions. It does not replace these decisions. Priority setting is not restricted to circumstances of scarce resources. It can be used, for example, for working more efficiently, for quality assurance, and also for rationing. Values or value decisions form the basis of priority setting. There should be a societal consensus regarding these values and the way priority setting is conducted. Priority settings can be done to very different objects, including objects from a macro-level, e. g. general goals of health care, from a meso-level, e. g. condition-treatment pairs, as well as from a micro-level, e. g. waiting lists. Swedish national prioritization guidelines serve as an example of how priority setting can be conducted. Here, condition-treatment pairs are developed on the basis of present health care occurrences. Then, priorities from 1 (highest priority) to 10 (lowest priority) are assigned on t...Continue Reading

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