Health Care Analysis

, Volume 16, Issue 2, pp 145–160 | Cite as

An Ethical Analysis of International Health Priority-Setting

Original Article

Abstract

Health care systems throughout the developed world face ‘crises’ of quality, financing and sustainability. These pressures have led governments to look for more efficient and equitable ways to allocate public resources. Prioritisation of health care services for public funding has been one of the strategies used by decision makers to reconcile growing health care demands with limited resources. Priority setting at the macro level has yet to demonstrate real successes. This paper describes international approaches to explicit prioritisation at the macro-governmental level in the six experiences most published in the English literature; analyzes the ways in which values, principles and other normative concepts were presented in these international priority setting experiences; and identifies key elements of a more robust framework for ethical analysis which could promote meaningful and effective health priority setting.

Keywords

Prioritisation Priority setting Health care services Health care values Ethical analysis Normative frameworks 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of BioethicsDalhousie UniversityHalifaxCanada
  2. 2.Faculty of Health SciencesSimon Fraser UniversityBurnabyCanada

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