Guidance on priority setting in health care (GPS-Health): the inclusion of equity criteria not captured by cost-effectiveness analysis

Norheim, Ole FBaltussen, RobJohri, MiraChisholm, DanNord, ErikBrock, DanWCarlsson, PerCookson, RichardDaniels, NormanDanis, MarionFleurbaey, MarcJohansson, Kjell AKapiriri, LydiaLittlejohns, PeterMbeeli, ThomasRao, Krishna DEdejer, Tessa Tan-TorresWikler, Dan2014-10-012014Norheim, O. F., R. Baltussen, M. Johri, D. Chisholm, E. Nord, D. Brock, P. Carlsson, et al. 2014. “Guidance on priority setting in health care (GPS-Health): the inclusion of equity criteria not captured by cost-effectiveness analysis.” Cost Effectiveness and Resource Allocation : C/E 12 (1): 18. doi:10.1186/1478-7547-12-18. http://dx.doi.org/10.1186/1478-7547-12-18.1478-7547http://nrs.harvard.edu/urn-3:HUL.InstRepos:12987254This Guidance for Priority Setting in Health Care (GPS-Health), initiated by the World Health Organization, offers a comprehensive map of equity criteria that are relevant to health care priority setting and should be considered in addition to cost-effectiveness analysis. The guidance, in the form of a checklist, is especially targeted at decision makers who set priorities at national and sub-national levels, and those who interpret findings from cost-effectiveness analysis. It is also targeted at researchers conducting cost-effectiveness analysis to improve reporting of their results in the light of these other criteria. The guidance was develop through a series of expert consultation meetings and involved three steps: i) methods and normative concepts were identified through a systematic review; ii) the review findings were critically assessed in the expert consultation meetings which resulted in a draft checklist of normative criteria; iii) the checklist was validated though an extensive hearing process with input from a range of relevant stakeholders. The GPS-Health incorporates criteria related to the disease an intervention targets (severity of disease, capacity to benefit, and past health loss); characteristics of social groups an intervention targets (socioeconomic status, area of living, gender; race, ethnicity, religion and sexual orientation); and non-health consequences of an intervention (financial protection, economic productivity, and care for others).en-USPriority settingResource allocationCost-effectivenessEquityPopulation healthGuidance on priority setting in health care (GPS-Health): the inclusion of equity criteria not captured by cost-effectiveness analysisJournal Article2014-10-0110.1186/1478-7547-12-18