Skip to main content
main-content

01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Mapping of multiple criteria for priority setting of health interventions: an aid for decision makers

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Noor Tromp, Rob Baltussen
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-454) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

NT contributed to the design of the study, led the data collection and selection of criteria for inclusion in the map and drafted and finished the article. RB contributed to the design of the study and the selection of criteria for inclusion in the map and assisted in writing the article.

Abstract

Background

In rationing decisions in health, many criteria like costs, effectiveness, equity and feasibility concerns play a role. These criteria stem from different disciplines that all aim to inform health care rationing decisions, but a single underlying concept that incorporates all criteria does not yet exist. Therefore, we aim to develop a conceptual mapping of criteria, based on the World Health Organization’s Health Systems Performance and Health Systems Building Blocks frameworks. This map can be an aid to decision makers to identify the relevant criteria for priority setting in their specific context.

Methods

We made an inventory of all possible criteria for priority setting on the basis of literature review. We categorized the criteria according to both health system frameworks that spell out a country’s health system goals and input. We reason that the criteria that decision makers use in priority setting exercises are a direct manifestation of this.

Results

Our map includes thirty-one criteria that are distributed among five categories that reflect the goals of a health system (i.e. to improve level of health, fair distribution of health, responsiveness, social & financial risk protection and efficiency) and leadership/governance one category that reflects feasibiliy based on the health system building blocks (i.e. service delivery, health care workforce , information, medical products, vaccines & technologies, financing and).

Conclusions

This conceptual mapping of criteria, based on well-established health system frameworks, will further develop the field of priority setting by assisting decision makers in the identification of multiple criteria for selection of health interventions.
Zusatzmaterial
Additional file 1: Overview of criteria considered for inclusion in criteria map.(DOCX 169 KB)
12913_2012_2431_MOESM1_ESM.docx
Authors’ original file for figure 1
12913_2012_2431_MOESM2_ESM.tiff
Authors’ original file for figure 2
12913_2012_2431_MOESM3_ESM.tiff
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

BMC Health Services Research 1/2012 Zur Ausgabe