Priority Setting: Lessons From Oregon
Welch, H. Gilbert
Lancet. 1991 Apr 13; 337(8746): 891-894.
The state of Oregon has developed a unique method to set priorities for health services. The method is based on a cost-utility formula but also incorporates public attitudes and values. Using an explicit process, the Oregon Health Services Commission has completed the ranking of 714 condition-treatment pairs. The background, methods, and criticisms of the Oregon approach highlight key questions for managers and physicians in other health services when they allocate limited resources.
Attitudes; Children; Costs and Benefits; Decision Making; Diagnosis; Economics; Females; Financial Support; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Services; Indigents; Legislation; Life; Methods; Managers; Physicians; Public Policy; Quality of Life; Resource Allocation; Scarcity; Selection for Treatment; State Government; Values;