Costa-Font Joan
Departament de Teoria Econòmica, Universitat de Barcelona, Barcelona, España.
Gac Sanit. 2005 May-Jun;19(3):242-52. doi: 10.1157/13075959.
The need to increase collective participation in health care decision-making is one of the main health reform issues in publicly financed health systems. The present article examines the arguments for collective participation, the means for improving it and the methods available to elicit collective preferences concerning health programs to be financed by the health system. We review the various collective participation tools, as well as the preference elicitation methods assist priority setting in collectively funded health care systems. Finally, the paper suggests some policy implications for policy making design in Spain.
提高医疗保健决策中的集体参与度是公共融资卫生系统主要的卫生改革问题之一。本文探讨了集体参与的论据、改善集体参与的手段以及用于引出关于由卫生系统资助的卫生项目的集体偏好的可用方法。我们回顾了各种集体参与工具以及有助于在集体资助的卫生保健系统中确定优先事项的偏好引出方法。最后，本文提出了一些对西班牙政策制定设计的政策启示。
