Evidence map›Paper›PMID 14510309›Full record

ReviewHealth care analysis : HCA : journal of health philosophy and policy2003

A strategy to improve priority setting in health care institutions.

Doug Martin, Peter Singer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Health care analysis : HCA : journal of health philosophy and policy, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Article
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  12. Describing and evaluating healthcare priority setting practices at the county level in Kenya.The International journal of health planning and management · 2018
    Article
  13. Article
  14. Review
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  18. Who prefers the 'cost-effectiveness ratio' prioritization approach in health-care decisions? Results of an empirical analysis.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  19. Setting Healthcare Priorities at the Macro and Meso Levels: A Framework for Evaluation.International journal of health policy and management · 2015
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Doug MartinCollaborative Program in Bioethics, Department of Health Policy, Management and Evaluation, Joint Centre for Bioethics, University of Toronto, Ontario, Canada M5G IL4. douglas.martin@utoronto.ca
Peter Singer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Priority setting (also known as resource allocation or rationing) occurs at every level of every health system and is one of the most significant health care policy questions of the 21st century. Because it is so prevalent and context specific, improving priority setting in a health system entails improving it in the institutions that constitute the system. But, how should this be done? Normative approaches are necessary because they help identify key values that clarify policy choices, but insufficient because different approaches lead to different conclusions and there is no consensus about which ones are correct, and they are too abstract to be directly used in actual decision making. Empirical approaches are necessary because they help to identify what is being done and what can be done, but are insufficient because they cannot identify what should be done. Moreover, to be really helpful, an improvement strategy must utilize rigorous research methods that are able to analyze and capture experience so that past problems are corrected and lessons can be shared with others. Therefore, a constructive, practical and accessible improvement strategy must be research-based and combine both normative and empirical methods. In this paper we propose a research-based improvement strategy that involves combining three linked methods: case study research to describe priority setting; interdisciplinary research to evaluate the description using an ethical framework; and action research to improve priority setting. This describe-evaluate-improve strategy is a generalizable method that can be used in different health care institutions to improve priority setting in that context.

Indexed as

Health PrioritiesEmpirical ResearchEthics, InstitutionalHealth Care RationingHealth Services ResearchHumansAnalytical ApproachHealth Care and Public Health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.