Receptive rationing: reflections and suggestions for priority setters in health care

The purpose of this paper is to take forward consideration of context in health care priority setting and to offer some practical strategies for priority setters to increase receptiveness to their work.

A number of tools and methods have been devised with the aim of making health care priority setting more robust and evidence based. However, in order to routinely take and implement priority setting decisions, decision makers require the support, or at least the acquiescence, of key external parties. In other words, the priority setting process requires a receptive context if it is to proceed unhindered.

The priority setting process requires a receptive context if it is to proceed unhindered.

This paper develops the concept of legitimacy in the "authorising environment" in priority setting and describes strategies which might help decision makers to create a receptive context, and to manage relationships with external stakeholders.