Accountability for reasonableness

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BMJ Norman Daniels Accountability for reasonableness

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The Need for Global Application of the Accountability for Reasonableness Approach to Support Sustainable Outcomes

The accountability for reasonableness (AFR) concept has been developed and discussed for over two decades. Its interpretation has been studied in several ways partly guided by the specific settings and the researchers involved. This has again influenced the development of the concept, but not led to universal application. The potential use in health technology assessments (HTAs) has recently be...

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Recommendations issued by agencies undertaking appraisals of health technologies at the national level may impact upon the availability of certain treatments and services in some publicly funded health systems, and, as such, have regularly been subject to challenge, including by way of litigation. In addition to expertise in the evaluation of evidence, fairness of procedures has been identified...

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Communication of bed allocation decisions in a critical care unit and accountability for reasonableness

BACKGROUND Communication may affect perceptions of fair process for intensive care unit bed allocation decisions through its impact on the publicity condition of accountability for reasonableness. METHODS We performed a qualitative case study to describe participant perceptions of the communication of bed allocation decisions in an 18-bed university affiliated, medical-surgical critical care ...

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In resource-poor settings, the accountability for reasonableness (A4R) has been identified as an important advance in priority setting that helps to operationalize fair priority setting in specific contexts. The four conditions of A4R are backed by theory, not evidence, that conformance with them improves the priority setting decisions. This paper describes the healthcare priority setting proce...

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ژورنال

عنوان ژورنال: BMJ

سال: 2000

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.321.7272.1300