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Involving the general public in priority setting: experiences from Australia
1Gates Malaria Partnership and the Health Policy Unit, London School of Hygiene and Tropical Medicine, 50 Bedford Square, WC1B 3DP, London, UK. virginia.wiseman@lshtm.ac.uk
Social Science & Medicine (1982)
|February 21, 2003
Summary
The public wants their preferences to guide health care priority setting, especially for broad programs and fund allocation. However, they believe decisions should incorporate diverse stakeholder input, not just public opinion.
Area of Science:
- Health Policy
- Public Health
- Decision Science
Background:
- Debate exists on public involvement in health care priority setting.
- Citizen perspectives are often excluded from this debate.
- Understanding public willingness to participate is crucial for legitimate health policy.
Purpose of the Study:
- To survey citizens on their role in health care priority setting.
- To explore public preferences across different priority-setting levels.
- To assess public views on incorporating diverse stakeholder preferences.
Main Methods:
- Survey of 373 citizens at two Sydney medical clinics.
- Presentation of three priority-setting levels: programs, procedures, global.
- Inclusion of funding and cost-effectiveness data to inform choices.
Main Results:
- Public overwhelmingly desires input in health care priority setting.
- Public preferences are highly valued for program-level and fund allocation decisions.
- Medical professionals' preferences are prioritized for treatment-level decisions.
- Citizens advocate for multi-stakeholder input, not solely public opinion.
- Politicians' preferences were deemed least important.
Conclusions:
- Citizens strongly support a role in health care priority setting.
- Public preferences are key for macro-level health policy decisions.
- Effective priority setting requires integrating diverse stakeholder perspectives.
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