ArticleHealth expectations : an international journal of public participation in health care and health policy1999
Public involvement in health care priority setting: an economic perspective.
Article in Health expectations : an international journal of public participation in health care and health policy, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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Who cites it
13 citing papers in PubMed.
- Prioritisation processes for programme implementation and evaluation in public health: A scoping review.Frontiers in public health · 2023Article
- Comparison of Modes of Administration and Alternative Formats for Eliciting Societal Preferences for Burden of Illness.Applied health economics and health policy · 2016Article
- The public's priorities in health services.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Fair reckoning: a qualitative investigation of responses to an economic health resource allocation survey.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Research priority setting for health policy and health systems strengthening in Nigeria: the policymakers and stakeholders perspective and involvement.The Pan African medical journal · 2013Article
- Societal preferences for standard health insurance coverage in the Netherlands: a cross-sectional study.BMJ open · 2012Article
- Using QALYs in cancer: a review of the methodological limitations.PharmacoEconomics · 2011Review
- Societal values in the allocation of healthcare resources: is it all about the health gain?The patient · 2011Review
- Eliciting individual preferences for health care: a case study of perinatal care.Health expectations : an international journal of public participation in health care and health policy · 2010Article
- Captured voices in cancer: experiences from networking between individuals with experiential and professional knowledge.BMC health services research · 2007Article
- Eliciting reasons: empirical methods in priority setting.Health care analysis : HCA : journal of health philosophy and policy · 2003Review
- Resource allocation, social values and the QALY: a review of the debate and empirical evidence.Health expectations : an international journal of public participation in health care and health policy · 2002Review
- Consulting about consulting: challenges to effective consulting about public health research.Health expectations : an international journal of public participation in health care and health policy · 2001Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPublic involvement in health care decision making and priority setting in the UK is being promoted by recent policy initiatives. In 1993, the British Medical Association called for public consultation where rationing of services was to be undertaken. The approach to priority setting advocated by many health economists is the maximization of quality adjusted life years (QALYs). Typically, for a particular health care programme, the QALY calculation takes account of four features: (1) the number of patients receiving the programme, (2) the survival gain, (3) the gain in quality of life and, (4) the probability of treatment success. Only one feature, that relating to quality of life, is based upon public preferences. If the QALY is to be used as a tool for health care resource allocation at a societal level then it should incorporate broader societal preferences.
methodsThis study used an interview-based survey of 91 members of the general public to explore whether the traditional QALY maximization model is a good predictor of public responses to health care priority setting choices. RESULTS AND
conclusionsMany respondents did not choose consistently in line with a QALY maximization objective and were most influenced by quality of life concerns. There was little support for health care programmes that provided a prognostic improvement but left patients in relatively poor states of health. The level of respondent engagement in the survey exercise was not sensitive to the provision of supporting clinical information.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.