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Related Experiment Videos

Priority setting in surgery: improve the process and share the learning.

Douglas K Martin1, Nancy Walton, Peter A Singer

  • 1Department of Health Policy, Management, and Evaluation, University of Toronto, 88 College Street, Toronto, Ontario M5G 1L4, Canada. douglas.martin@utoronto.ca

World Journal of Surgery
|June 5, 2003
PubMed
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Surgical programs face daily priority-setting challenges. This paper proposes an "accountability for reasonableness" framework to improve fairness and decision-making in areas like technology adoption and elective surgery waitlists.

Area of Science:

  • Health Policy
  • Surgical Management
  • Decision Science

Background:

  • Surgical programs frequently face complex priority-setting decisions.
  • These decisions involve resource allocation, such as new technology procurement and managing elective surgery waiting lists.
  • Current methods often rely on effectiveness, cost-effectiveness, or urgency scores, potentially limiting fairness.

Purpose of the Study:

  • To explore and enhance priority-setting processes within surgical programs.
  • To introduce a structured approach for improving fairness and quality in surgical priority setting.
  • To promote the sharing of lessons learned across surgical programs.

Main Methods:

  • The study proposes the application of a conceptual framework known as "accountability for reasonableness."

Related Experiment Videos

  • This framework involves describing, evaluating, and improving priority-setting experiences.
  • It aims to incorporate all relevant information and values into decision-making.

    • Main Results:

    • The proposed framework offers a systematic method for improving surgical priority setting.
    • It facilitates the capture and sharing of lessons from past priority-setting decisions.
    • Implementation can lead to more equitable and effective resource allocation.

    Conclusions:

    • The "accountability for reasonableness" framework can significantly enhance priority setting in surgery.
    • Adopting this approach can improve decision quality and fairness in surgical programs.
    • It supports the development of an evidence base for health policy decisions in surgery.