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Public values and plurality in health priority setting: What to do when people disagree and why we should care about reasons as well as choices

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  • Baker, Rachel
  • Mason, Helen
  • McHugh, Neil
  • Donaldson, Cam

Abstract

‘What does ‘The Public’ think?’ is a question often posed by researchers and policy makers, and public values are regularly invoked to justify policy decisions. Over time there has been a participatory turn in the social and health sciences, including health technology assessment and priority setting in health, towards citizen participation such that public policies reflect public values. It is one thing to agree that public values are important, however, and another to agree on how public values should be elicited, deliberated upon and integrated into decision-making. Surveys of public values rarely deliver unanimity, and preference heterogeneity, or plurality, is to be expected.

Suggested Citation

  • Baker, Rachel & Mason, Helen & McHugh, Neil & Donaldson, Cam, 2021. "Public values and plurality in health priority setting: What to do when people disagree and why we should care about reasons as well as choices," Social Science & Medicine, Elsevier, vol. 277(C).
    • Handle: RePEc:eee:socmed:v:277:y:2021:i:c:s0277953621002240
    DOI: 10.1016/j.socscimed.2021.113892
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    References listed on IDEAS

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    2. Linlin Zhou & Évelyne Lande, 2024. "The evolution of values in China's public healthcare system [L’évolution des valeurs dans le système public de santé en Chine]," Post-Print hal-04717792, HAL.
    3. Stenmarck, Mille Sofie & Whitehurst, David GT. & Baker, Rachel & Barra, Mathias, 2024. "Charting public views on the meaning of illness severity," Social Science & Medicine, Elsevier, vol. 347(C).
    4. Schoon, Rebecca & Chi, Chunhuei, 2022. "Integrating Citizens Juries and Discrete Choice Experiments: Methodological issues in the measurement of public values in healthcare priority setting," Social Science & Medicine, Elsevier, vol. 309(C).
    5. Ian Ross & Giulia Greco & Charles Opondo & Zaida Adriano & Rassul Nala & Joe Brown & Robert Dreibelbis & Oliver Cumming, 2022. "Measuring and valuing broader impacts in public health: Development of a sanitation‐related quality of life instrument in Maputo, Mozambique," Health Economics, John Wiley & Sons, Ltd., vol. 31(3), pages 466-480, March.
    6. Hausman, Daniel M., 2023. "Eliciting preferences and respecting values: Why ask?," Social Science & Medicine, Elsevier, vol. 320(C).
    7. Schoon, Rebecca & Chi, Chunhuei & Liu, Tsai-Ching, 2022. "Quantifying public preferences for healthcare priorities in Taiwan through an integrated citizens jury and discrete choice experiment," Social Science & Medicine, Elsevier, vol. 315(C).

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