Evidence map›Paper›PMID 27801355›Full record

ArticleInternational journal of health policy and management2016

Priority Setting for Universal Health Coverage: We Need Evidence-Informed Deliberative Processes, Not Just More Evidence on Cost-Effectiveness.

Rob Baltussen, Maarten P Jansen, Evelinn Mikkelsen, Noor Tromp, Jan Hontelez, Leon Bijlmakers, Gert Jan Van der Wilt

Abstract readEditorial
In one paragraph

Article in International journal of health policy and management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 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

66 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  17. An ethical analysis of policy dialogues.Health research policy and systems · 2023
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Rob BaltussenRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Maarten P JansenRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Evelinn MikkelsenRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Noor TrompRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Jan HontelezErasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Leon BijlmakersRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Gert Jan Van der WiltRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Priority setting of health interventions is generally considered as a valuable approach to support low- and middle-income countries (LMICs) in their strive for universal health coverage (UHC). However, present initiatives on priority setting are mainly geared towards the development of more cost-effectiveness information, and this evidence does not sufficiently support countries to make optimal choices. The reason is that priority setting is in reality a value-laden political process in which multiple criteria beyond cost-effectiveness are important, and stakeholders often justifiably disagree about the relative importance of these criteria. Here, we propose the use of 'evidence-informed deliberative processes' as an approach that does explicitly recognise priority setting as a political process and an intrinsically complex task. In these processes, deliberation between stakeholders is crucial to identify, reflect and learn about the meaning and importance of values, informed by evidence on these values. Such processes then result in the use of a broader range of explicit criteria that can be seen as the product of both international learning ('core' criteria, which include eg, cost-effectiveness, priority to the worse off, and financial protection) and learning among local stakeholders ('contextual' criteria). We believe that, with these evidence-informed deliberative processes in place, priority setting can provide a more meaningful contribution to achieving UHC.

Indexed as

Cost-Benefit AnalysisDeveloping CountriesHealth PolicyHealth PrioritiesSocial ValuesUniversal Health InsuranceHumansPoliticsCost-Effectiveness AnalysisDecision-MakingEvidence-Informed Deliberative ProcessesLegitimacyPriority SettingUniversal Health Coverage (UHC)

Identifiers

PMID27801355
PMCPMC5088720

What OpenQuestion holds

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LicenceCC BY
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.