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Identifying health system value dimensions: more than health gain?

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  • Costa-Font, Joan
  • Sato, Azusa
  • Rovira Forns, Joan

Abstract

Publicly funded health system reforms increasingly require the evaluation of competing programmes. However, programmes are made of multi-dimensional attributes of value (where value refers to latent expectations of health system improvement). This paper identifies the design, implementation and validation of a methodology to elicit health system values to guide health care priority setting. The exercise suggests that the proposed methodology is suitable for eliciting and validating health system values, and its findings show that pursuing health gain alone does not fully capture the dimensions of health system value. More specifically, we identify a list of health system values (elicited by both potential and actual users) and classify them in terms of process-related values (e.g., shorter waiting lists, greater choice, etc.) and improvements in health system equity in addition to value derived from health gain.

Suggested Citation

  • Costa-Font, Joan & Sato, Azusa & Rovira Forns, Joan, 2017. "Identifying health system value dimensions: more than health gain?," Health Economics, Policy and Law, Cambridge University Press, vol. 12(3), pages 387-400, July.
    • Handle: RePEc:cup:hecopl:v:12:y:2017:i:03:p:387-400_00
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    Cited by:

    1. Joan Costa-i-Font & Frank Cowell, 2019. "Incorporating Inequality Aversion in Health-Care Priority Setting," CESifo Working Paper Series 7503, CESifo.
    2. Xinxin Peng & Xiaolei Tang & Yijun Chen & Jinghua Zhang, 2021. "Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China—Based on the Grey Relational Analysis Models," IJERPH, MDPI, vol. 18(3), pages 1-13, January.

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