Evidence map›Paper›PMID 26673332›Full record

ReviewInternational journal of health policy and management2015

Setting Healthcare Priorities at the Macro and Meso Levels: A Framework for Evaluation.

Edwine W Barasa, Sassy Molyneux, Mike English, Susan Cleary

Abstract readReview
In one paragraph

Review in International journal of health policy and management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. The Economic Rationale for Healthcare Reform.International journal of health policy and management · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Article
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  15. Priority Setting in the Polish Health Care System According to Patients' Perspective.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

4 authors.

Edwine W BarasaKEMRI Centre for Geographic Medicine Research - Coast, and Welcome Trust Research Programme, Nairobi, Kenya.
Sassy MolyneuxKEMRI Centre for Geographic Medicine Research - Coast, and Welcome Trust Research Programme, Nairobi, Kenya.
Mike EnglishKEMRI Centre for Geographic Medicine Research - Coast, and Welcome Trust Research Programme, Nairobi, Kenya.
Susan ClearyHealth Economics Unit, University of Cape Town, Cape Town, South Africa.

Funding

Wellcome Trust 092654Wellcome Trust 097170
6 · The paper itself

Abstract

backgroundPriority setting in healthcare is a key determinant of health system performance. However, there is no widely accepted priority setting evaluation framework. We reviewed literature with the aim of developing and proposing a framework for the evaluation of macro and meso level healthcare priority setting practices.

methodsWe systematically searched Econlit, PubMed, CINAHL, and EBSCOhost databases and supplemented this with searches in Google Scholar, relevant websites and reference lists of relevant papers. A total of 31 papers on evaluation of priority setting were identified. These were supplemented by broader theoretical literature related to evaluation of priority setting. A conceptual review of selected papers was undertaken.

resultsBased on a synthesis of the selected literature, we propose an evaluative framework that requires that priority setting practices at the macro and meso levels of the health system meet the following conditions: (1) Priority setting decisions should incorporate both efficiency and equity considerations as well as the following outcomes; (a) Stakeholder satisfaction, (b) Stakeholder understanding, (c) Shifted priorities (reallocation of resources), and (d) Implementation of decisions. (2) Priority setting processes should also meet the procedural conditions of (a) Stakeholder engagement, (b) Stakeholder empowerment, (c) Transparency, (d) Use of evidence, (e) Revisions, (f) Enforcement, and (g) Being grounded on community values.

conclusionAvailable frameworks for the evaluation of priority setting are mostly grounded on procedural requirements, while few have included outcome requirements. There is, however, increasing recognition of the need to incorporate both consequential and procedural considerations in priority setting practices. In this review, we adapt an integrative approach to develop and propose a framework for the evaluation of priority setting practices at the macro and meso levels that draws from these complementary schools of thought.

Indexed as

Health Care RationingHealth PrioritiesHealth EquityHumansCommunitarianismHealthcare RationingPriority SettingPriority Setting EvaluationResource Allocation

Identifiers

PMID26673332
PMCPMC4629697

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.