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LEFO - Legeforskningsinstituttet

Institute for Studies of the Medical Profession

2017

The Norwegian National Council for Priority Setting in Health Care: decisions and justifications

- We found that although the Council often made use of the official priority-setting criteria, they did so in an unsystematic and inconsistent manner (Wester G, Bringedal B. Health Econ Policy Law 2017; Mar 21: 1-19).
21. mars 2017

The article was published online 21 March 2017, doi: 10.1017/S1744133117000020. Epub ahead of print.

Abstract in PubMed:
Different countries have adopted different strategies for tackling the challenge of allocating scarce health care resources fairly. Norway is one of the countries that has pioneered the effort to resolve priority setting by using a core set of priority-setting criteria. While the criteria themselves have been subject to extensive debate and numerous revisions, the question of how the criteria have been applied in practice has received less attention. In this paper, we examine how the criteria feature in the decisions and justifications of the Norwegian National Council for Priority Setting in Health Care, which has played an active role in deliberating about health care provision and coverage in Norway. We conducted a comprehensive document analysis, looking at the Council's decisions about health care allocation as well as the reasons they had provided to justify their decisions. We found that although the Council often made use of the official priority-setting criteria, they did so in an unsystematic and inconsistent manner.

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Read a presentation of the study (in Norwegian) here (Bringedal B. Prioriteringsrådets råd. Tidsskr Nor Legeforen 2017; 137: 1449).