Health care priority setting in Norway a multicriteria decision analysis

Defechereux, Thierry, Paolucci, Francesco, Mirelman, Andrew, Youngkong, Sitaporn, Botten, Grete, Hagen, Terje P and Niessen, Louis W (2012) Health care priority setting in Norway a multicriteria decision analysis. BMC Health Services Research, 12. ISSN 1472-6963

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Abstract

Background: Priority setting in population health is increasingly based on explicitly formulated values. The Patients Rights Act of the Norwegian tax-based health service guaranties all citizens health care in case of a severe illness, a proven health benefit, and proportionality between need and treatment. This study compares the values of the country's health policy makers with these three official principles. Methods: In total 34 policy makers participated in a discrete choice experiment, weighting the relative value of six policy criteria. We used multi-variate logistic regression with selection as dependent valuable to derive odds ratios for each criterion. Next, we constructed a composite league table - based on the sum score for the probability of selection - to rank potential interventions in five major disease areas. Results: The group considered cost effectiveness, large individual benefits and severity of disease as the most important criteria in decision making. Priority interventions are those related to cardiovascular diseases and respiratory diseases. Less attractive interventions rank those related to mental health. Conclusions: Norwegian policy makers' values are in agreement with principles formulated in national health laws. Multi-criteria decision approaches may provide a tool to support explicit allocation decisions.

Item Type: Article
Uncontrolled Keywords: age factors,cardiovascular diseases,choice behavior,cost-benefit analysis,decision making,decision support techniques,health care rationing,health policy,health priorities,humans,logistic models,needs assessment,norway,policy making,quality-adjusted life years,respiratory tract diseases,severity of illness index
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 24 Jan 2014 12:50
Last Modified: 21 Apr 2020 22:39
URI: https://ueaeprints.uea.ac.uk/id/eprint/46799
DOI: 10.1186/1472-6963-12-39

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