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

Author:

Wester Gry,Bringedal Berit

Abstract

AbstractDifferent 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.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy

Reference29 articles.

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2. Regulation on Priority Setting FOR-2000-12-01-1208, https://lovdata.no/dokument/SF/forskrift/2000-12-01-1208?q=FOR-2000-12-01-1208 [15 December 2015].

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4. Rumbold B. E. , Weale A. , Rid A. , Wilson J. and Littlejohns P. (forthcoming), ‘Public reasoning and health care priority setting: the case of NICE’, Kennedy Institute of Ethics Journal.

5. Norges Offentlige Utredning [Official Norwegian Report] (1997), Prioritering på ny – Gjennomgang av retningslinjer for prioriteringer innen norsk helsetjeneste [Priority setting revisited – review of guidelines for priority setting in the Norwegian health care services], NOU 1997: 18, Oslo.www.regjeringen.no/nb/dep/hod/dok/nouer/1997/nou-1997-18/4.html?id=140960 [15 December 15].

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