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Creating sustainable health care systems: agreeing social (societal) priorities through public participation

Littlejohns, Peter, Kieslich, Katharina, Weale, Albert, Tumilty, Emma, Richardson, Georgina, Stokes, Tim, Gauld, Robin and Scuffham, Paul 2019, Creating sustainable health care systems: agreeing social (societal) priorities through public participation, Journal of health organization and management, vol. 33, no. 1, pp. 18-34, doi: 10.1108/JHOM-02-2018-0065.

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Title Creating sustainable health care systems: agreeing social (societal) priorities through public participation
Author(s) Littlejohns, Peter
Kieslich, Katharina
Weale, Albert
Tumilty, EmmaORCID iD for Tumilty, Emma orcid.org/0000-0002-4132-6467
Richardson, Georgina
Stokes, Tim
Gauld, Robin
Scuffham, Paul
Journal name Journal of health organization and management
Volume number 33
Issue number 1
Start page 18
End page 34
Total pages 17
Publisher Emerald Publishing
Place of publication Bingley, Eng.
Publication date 2019-03-18
ISSN 1477-7266
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Health Care Sciences & Services
New Zealand
Evidence-based practice
Hospital management
Inequality
Health services sector
National Health Service
DECISION-MAKING
TECHNOLOGY-ASSESSMENT
UNIVERSAL HEALTH
CITIZENS
INVOLVEMENT
COVERAGE
POLICY
PREFERENCES
VALUES
ACCESS
Summary © 2018, Peter Littlejohns, Katharina Kieslich, Albert Weale, Emma Tumilty, Georgina Richardson, Tim Stokes, Robin Gauld and Paul Scuffham. Purpose: In order to create sustainable health systems, many countries are introducing ways to prioritise health services underpinned by a process of health technology assessment. While this approach requires technical judgements of clinical effectiveness and cost effectiveness, these are embedded in a wider set of social (societal) value judgements, including fairness, responsiveness to need, non-discrimination and obligations of accountability and transparency. Implementing controversial decisions faces legal, political and public challenge. To help generate acceptance for the need for health prioritisation and the resulting decisions, the purpose of this paper is to develop a novel way of encouraging key stakeholders, especially patients and the public, to become involved in the prioritisation process. Design/methodology/approach: Through a multidisciplinary collaboration involving a series of international workshops, ethical and political theory (including accountability for reasonableness) have been applied to develop a practical way forward through the creation of a values framework. The authors have tested this framework in England and in New Zealand using a mixed-methods approach. Findings: A social values framework that consists of content and process values has been developed and converted into an online decision-making audit tool. Research limitations/implications: The authors have developed an easy to use method to help stakeholders (including the public) to understand the need for prioritisation of health services and to encourage their involvement. It provides a pragmatic way of harmonising different perspectives aimed at maximising health experience. Practical implications: All health care systems are facing increasing demands within finite resources. Although many countries are introducing ways to prioritise health services, the decisions often face legal, political, commercial and ethical challenge. The research will help health systems to respond to these challenges. Social implications: This study helps in increasing public involvement in complex health challenges. Originality/value: No other groups have used this combination of approaches to address this issue.
Language eng
DOI 10.1108/JHOM-02-2018-0065
Indigenous content off
Field of Research 15 Commerce, Management, Tourism and Services
11 Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, 2018, Peter Littlejohns, Katharina Kieslich, Albert Weale, Emma Tumilty, Georgina Richardson, Tim Stokes, Robin Gauld and Paul Scuffham
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30129463

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.