Identifying health system value dimensions: more than health gain?. Issue 3 (15th March 2017)

• Record Type: Journal Article
• Authors: Costa-Font, Joan; Sato, Azusa; Rovira Forns, Joan
• Is Part Of: Health economics, policy and law. Volume 12:Issue 3(2017)
• Page Start: 387
• Page End: 400
• Publication Date: 2017-03-15
• Subjects: Medical economics -- Periodicals; Medical policy -- Periodicals; Medical laws and legislation -- Periodicals; 362.1
• DOI: 10.1017/S1744133117000032
• Languages: English
• ISSNs: 1744-1331

Abstract

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.