Letters

A framework for priority setting

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7085.980 (Published 29 March 1997) Cite this as: BMJ 1997;314:980
  1. Anthony Scott, Research fellowa,
  2. Cam Donaldson, Deputy directora,
  3. Sarah Wordsworth, Research assistanta
  1. a Health Economics Research Unit, Department of Public Health, University of Aberdeen, Aberdeen AB25 2ZD

    Editor–Alan Maynard highlighted the lack of a commonly agreed framework or principles that purchasers can use to set priorities.1 We argue that such a framework should be based on the following pragmatic approach.

    The starting point of this framework is knowledge of how resources are currently being used. Although this may seem an obvious requirement for accountability, many purchasers simply do not know, other than at a broad level, what resources are spent on different diseases, care groups, local …

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