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The EVIDEM framework and its usefulness for priority setting across a broad range of health interventions

DOI: 10.1186/1478-7547-9-16

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Abstract:

The explicit weighing of criteria analyzed from DCE may improve the consistency of priority setting across contexts and over time, but does not solve the more fundamental problem that views of stakeholders, and therefore their expressed weights, may diverge. This is acknowledged by the 'Accountability for Reasonableness' (A4R) framework [2,3] which is based on the believe that any consensus on priority setting weights and subsequent results may be difficult to achieve because of these distinct perspectives of stakeholders. Instead of attempting to resolve the problem of diverse stakeholders' views, the A4R framework proposes to concentrate on a fair priority setting process. On this basis, when conditions of reasonableness, publicity, appeal and enforcement are satisfied, it would lead to decisions that are considered fair and acceptable to stakeholders. In our view, exploring how stakeholders' divergent perspectives on the weighting of criteria can be met fairly, is an object for further research.We regret any inconvenience that these corrections might have caused.

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