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Kapiriri evaluated priority setting using accountability for reasonableness' in several contexts of the Ugandan health system and identified opportunities for improvement[ 17, 18].
All the studies that evaluated priority setting using the AFR framework reported that the relevance condition was not met.
Moreover, Kapiriri et al. evaluated priority setting in Uganda and found that the BOD/CEA approach: i) did not include other values that were important to Ugandans (e.g. protecting the vulnerable); ii) was too opaque; iii) did not involve relevant people, and iv) was too technical, requiring expertise that was unavailable[ 12].
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In this paper we identify indicators of success for evaluating priority setting processes (the evaluation process), and present the results of a pilot study which tested whether this evaluation process was effective in evaluating priority setting success.
This review shows a failure to evaluate priority setting processes and a lack of consensus about appropriate priority setting methodologies [ 6].
The studies captured in this review, therefore, endeavoured to evaluate priority setting processes against the four conditions of AFR such as relevance, publicity, appeals and revision and enforcement.
Given that we lack consensus on the meaning of successful priority setting, the evaluation process we have created is an initial attempt to evaluate priority setting decisions in a specific context.
To describe and evaluate priority setting in the context of hospital priority setting and more specifically to evaluate the use of an appeals process.
However, there is lack of literature that describes and evaluates priority setting in these contexts.
'Accountability for reasonableness' has been used to evaluate priority setting in health systems [ 11].
All but one of the studies that sought to evaluate priority setting employed the AFR framework.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com