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How did European countries set health priorities in response to the COVID-19 threat? A comparative document analysis of 24 pandemic preparedness plans across the EURO region

Author

Listed:
  • Williams, Iestyn
  • Kapiriri, Lydia
  • Vélez, Claudia-Marcela
  • Aguilera, Bernardo
  • Danis, Marion
  • Essue, Beverley
  • Goold, Susan
  • Noorulhuda, Mariam
  • Nouvet, Elysee
  • Razavi, Donya
  • Sandman, Lars

Abstract

The COVID-19 pandemic has forced governments across the world to consider how to prioritise the allocation of scarce resources. There are many tools and frameworks that have been designed to assist with the challenges of priority setting in health care. The purpose of this study was to examine the extent to which formal priority setting was evident in the pandemic plans produced by countries in the World Health Organisation's EURO region, during the first wave of the COVID-19 pandemic. This compliments analysis of similar plans produced in other regions of the world. Twenty four pandemic preparedness plans were obtained that had been published between March and September 2020. For data extraction, we applied a framework for identifying and assessing the elements of good priority setting to each plan, before conducting comparative analysis across the sample. Our findings suggest that while some pre-requisites for effective priority setting were present in many cases – including political commitment and a recognition of the need for allocation decisions – many other hallmarks were less evident, such as explicit ethical criteria, decision making frameworks, and engagement processes. This study provides a unique insight into the role of priority setting in the European response to the onset of the COVID-19 pandemic.

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  • Williams, Iestyn & Kapiriri, Lydia & Vélez, Claudia-Marcela & Aguilera, Bernardo & Danis, Marion & Essue, Beverley & Goold, Susan & Noorulhuda, Mariam & Nouvet, Elysee & Razavi, Donya & Sandman, Lars, 2024. "How did European countries set health priorities in response to the COVID-19 threat? A comparative document analysis of 24 pandemic preparedness plans across the EURO region," Health Policy, Elsevier, vol. 141(C).
    • Handle: RePEc:eee:hepoli:v:141:y:2024:i:c:s0168851024000083
    DOI: 10.1016/j.healthpol.2024.104998
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    References listed on IDEAS

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    1. Palm, Willy & Webb, Erin & Hernández-Quevedo, Cristina & Scarpetti, Giada & Lessof, Suszy & Siciliani, Luigi & van Ginneken, Ewout, 2021. "Gaps in coverage and access in the European Union," Health Policy, Elsevier, vol. 125(3), pages 341-350.
    2. Wang, Di & Mao, Zhifei, 2021. "A comparative study of public health and social measures of COVID-19 advocated in different countries," Health Policy, Elsevier, vol. 125(8), pages 957-971.
    3. Petricca, Kadia & Bekele, Asfaw & Berta, Whitney & Gibson, Jennifer & Pain, Clare, 2018. "Advancing methods for health priority setting practice through the contribution of systems theory: Lessons from a case study in Ethiopia," Social Science & Medicine, Elsevier, vol. 198(C), pages 165-174.
    4. Smith, Neale & Mitton, Craig & Hall, William & Bryan, Stirling & Donaldson, Cam & Peacock, Stuart & Gibson, Jennifer L. & Urquhart, Bonnie, 2016. "High performance in healthcare priority setting and resource allocation: A literature- and case study-based framework in the Canadian context," Social Science & Medicine, Elsevier, vol. 162(C), pages 185-192.
    5. Razavi, S. Donya & Kapiriri, Lydia & Wilson, Michael & Abelson, Julia, 2020. "Applying priority-setting frameworks: A review of public and vulnerable populations’ participation in health-system priority setting," Health Policy, Elsevier, vol. 124(2), pages 133-142.
    6. Richard Norman & Suzanne Robinson & Helen Dickinson & Iestyn Williams & Elena Meshcheriakova & Kathleen Manipis & Matthew Anstey, 2021. "Public Preferences for Allocating Ventilators in an Intensive Care Unit: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 14(3), pages 319-330, May.
    7. Kapiriri, Lydia & Razavi, Donya, 2017. "How have systematic priority setting approaches influenced policy making? A synthesis of the current literature," Health Policy, Elsevier, vol. 121(9), pages 937-946.
    8. Siciliani, Luigi & Wild, Claudia & McKee, Martin & Kringos, Dionne & Barry, Margaret M. & Barros, Pedro Pita & De Maeseneer, Jan & Murauskiene, Liubove & Ricciardi, Walter, 2020. "Strengthening vaccination programmes and health systems in the European Union: A framework for action," Health Policy, Elsevier, vol. 124(5), pages 511-518.
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