Recommendations from two citizens’ juries on the surgical management of obesity

Scuffham, P. A., Krinks, R., Chaulkidou, K., Littlejohns, P., Whitty, J. A. ORCID: https://orcid.org/0000-0002-5886-1933, Wilson, A., Burton, P. and Kendall, E. (2018) Recommendations from two citizens’ juries on the surgical management of obesity. Obesity Surgery, 28 (6). 1745–1752. ISSN 1708-0428

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Abstract

Background: It is important that guidelines and criteria used to prioritise access to bariatric surgery are informed by the values of the tax-paying public in combination with the expertise of healthcare professionals. Citizens’ juries are increasingly used around the world to engage the public in healthcare decision-making. This study investigated citizens’ juries about prioritising patient access to bariatric surgery in two Australian cities. Objectives: The objective of this study is to examine public priorities for government expenditure on the surgical management of obesity developed through either a one or three-day citizen jury. Subjects/Methods: A three-day jury was held in Brisbane and a one-day jury in Adelaide. Jurors were selected in Brisbane (n = 18) and in Adelaide (n = 12) according to pre-specified criteria. Expert witnesses from various medical disciplines and consumers were cross-examined by jurors. Results: The verdicts of the juries were similar in that both juries agreed bariatric surgery was an important option in the management of obesity and related comorbidities. Recommendations about who should receive treatment differed slightly across the juries. Both juries rejected the use of age as a rationing tool, but managed their objections in different ways. Participants’ experiences of the jury process were positive, but our observations suggested that many variables may influence the nature of the final verdict. Conclusions: Citizen’s juries, even when shorter in duration, can be an effective tool to guide the development of health policy and priorities. However, our study has identified a range of variables that should be considered when designing and running a jury and when interpreting the verdict.

Item Type:	Article
Uncontrolled Keywords:	citizen council,decision-making,public engagement,obesity management,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Respiratory and Airways Group Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Depositing User:	Pure Connector
Date Deposited:	16 Jan 2018 17:30
Last Modified:	22 Oct 2022 03:27
URI:	https://ueaeprints.uea.ac.uk/id/eprint/65957
DOI:	10.1007/s11695-017-3089-4

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