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Social values international programme: integrating research and policy to ensure fair allocation of health care resources
 

Social values international programme: integrating research and policy to ensure fair allocation of health care resources

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Social values international programme: integrating research and policy to ensure fair allocation of health care resources . ...

Social values international programme: integrating research and policy to ensure fair allocation of health care resources .

HTAi Conference 2012 Panel Session

Joint chairs
Professor Peter Littlejohns and Professor Albert Weale

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  • Q: What was your process in generating the framework? - Was a lit review already done? - How did you pick what values to include/exclude?
  • central theoretical proposition of the Fellowship research is the claim that justifiable principles governing the allocation of resources could be [discerned/established?]through a specific form of social contract theory. A social contract comprises the rules and practices that govern relations among actors in a system of decision making. Social contract theory seeks to answer the question: are there rules and practices that all relevant actors could sign up to as reasonable, given that they recognise that other actors have legitimately different interests? A distinctive element of the approach in the Fellowship research is that it utilises variations in the circumstances in which 'actually existing contracts' are formed to identify justifiable patterns of public reasoning (work still in progress, but working papers are at: http://www.ucl.ac.uk/spp/people/albert-weale ).
  • central theoretical proposition of the Fellowship research is the claim that justifiable principles governing the allocation of resources could be [discerned/established?]through a specific form of social contract theory. A social contract comprises the rules and practices that govern relations among actors in a system of decision making. Social contract theory seeks to answer the question: are there rules and practices that all relevant actors could sign up to as reasonable, given that they recognise that other actors have legitimately different interests? A distinctive element of the approach in the Fellowship research is that it utilises variations in the circumstances in which 'actually existing contracts' are formed to identify justifiable patterns of public reasoning (work still in progress, but working papers are at: http://www.ucl.ac.uk/spp/people/albert-weale ).
  • central theoretical proposition of the Fellowship research is the claim that justifiable principles governing the allocation of resources could be [discerned/established?]through a specific form of social contract theory. A social contract comprises the rules and practices that govern relations among actors in a system of decision making. Social contract theory seeks to answer the question: are there rules and practices that all relevant actors could sign up to as reasonable, given that they recognise that other actors have legitimately different interests? A distinctive element of the approach in the Fellowship research is that it utilises variations in the circumstances in which 'actually existing contracts' are formed to identify justifiable patterns of public reasoning (work still in progress, but working papers are at: http://www.ucl.ac.uk/spp/people/albert-weale ).
  • central theoretical proposition of the Fellowship research is the claim that justifiable principles governing the allocation of resources could be [discerned/established?]through a specific form of social contract theory. A social contract comprises the rules and practices that govern relations among actors in a system of decision making. Social contract theory seeks to answer the question: are there rules and practices that all relevant actors could sign up to as reasonable, given that they recognise that other actors have legitimately different interests? A distinctive element of the approach in the Fellowship research is that it utilises variations in the circumstances in which 'actually existing contracts' are formed to identify justifiable patterns of public reasoning (work still in progress, but working papers are at: http://www.ucl.ac.uk/spp/people/albert-weale ).
  • central theoretical proposition of the Fellowship research is the claim that justifiable principles governing the allocation of resources could be [discerned/established?]through a specific form of social contract theory. A social contract comprises the rules and practices that govern relations among actors in a system of decision making. Social contract theory seeks to answer the question: are there rules and practices that all relevant actors could sign up to as reasonable, given that they recognise that other actors have legitimately different interests? A distinctive element of the approach in the Fellowship research is that it utilises variations in the circumstances in which 'actually existing contracts' are formed to identify justifiable patterns of public reasoning (work still in progress, but working papers are at: http://www.ucl.ac.uk/spp/people/albert-weale ).

Social values international programme: integrating research and policy to ensure fair allocation of health care resources Social values international programme: integrating research and policy to ensure fair allocation of health care resources Presentation Transcript

  • Social values international programme: integrating researchand policy to ensure fair allocation of health care resources HTAi Conference 2012 Panel Session Joint chairs Professor Peter Littlejohns and Professor Albert Weale  
  • PanelWelcome and description of new research programme - Professor Peter Littlejohns- 10 minutesQuestions and discussion - 5 minutesSocial Values and Normative Framework - Professor Albert Weale - 10 minutesQuestions and discussion - 5 minutesDescription of web resource and case study approach - Dr Sarah Clark – 10 minutesQuestions and discussion - 5 minutesCase study from Thailand - Dr Sripen Tantivess – 10 minutesQuestions and discussion - 5 minutesCase study from South Korea - Dr Jeonghoon Ahn - 10 minutesQuestions and discussion - 5 minutesSpecial Edition describing the background to the research programme available athttp://www.emeraldinsight.com/journals.htm?issn=1477-7266&volume=26&issue=3
  • The Universal Health ChallengePeople are living longer, have increasing expectations of what careshould be provided, and health care innovation continues to offerever greater options for intervention.Policy makers face the challenge of setting health care priorities,balancing the objectives of securing high quality, comprehensivehealth care without creating financial barriers to access.One way of dealing with these challenges is to search for greatervalue for money in health care through evidence-basedassessment of interventions that work and are cost-effective.Yet, there is no reason to think that hard trade-offs and tragicchoices can be fully overcome by greater efficiency in the use ofresources. Priority-setting and the exclusions from health carecoverage that it implies will be central features of health policy foryears to come in all countries.
  •  A Balanced Approach.Priority setting involves technical analyses of clinical and costeffectiveness, but it also requires judgements of social value. Suchvalues include justice, solidarity and autonomy.Even scientific criteria such as clinical and cost effectivenesspresuppose social values in the assessment of the quality of life thatan intervention will deliver.Social values are also relevant to the policy processes by whichpriority-setting decisions are reached, since procedural values affectthe perceived sense of legitimacy of decisions. Such proceduralvalues include transparency, accountability and participation .Value for money in health care means value for money in the light ofrelevant social values.
  •  But the big question remains.How is this done.............how should it be done ?
  •  A new research policy network  has been establishedTo provide a detailed mapping of the institutionalpatterns and decision making protocols of healthcare priority setting within a sample countriesincluding the UK, the US, South Korea, Thailand .To assess the role that social value considerationsplay in the policy paradigms of those countries.To analyse and evaluate the role of social values indecision making using the tools of normative politicaltheory.To translate the research into the production of adecision tool intended to aid decision makers inidentifying the role that social values should have inpriority setting.