Guidance on priority setting in health care (GPS-Health): the inclusion of equity criteria not captured by cost-effectiveness analysis Academic Article uri icon

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abstract

  • 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).

authors

  • Norheim, Ole F
  • Baltussen, Rob
  • Johri, Mira
  • Chisholm, Dan
  • Nord, Erik
  • Brock, DanW
  • Carlsson, Per
  • Cookson, Richard
  • Daniels, Norman
  • Danis, Marion
  • Fleurbaey, Marc
  • Johansson, Kjell A
  • Kapiriri, Lydia
  • Littlejohns, Peter
  • Mbeeli, Thomas
  • Rao, Krishna D
  • Edejer, Tessa Tan-Torres
  • Wikler, Dan

publication date

  • 2014