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However, public participation in priority setting can enhance the legitimacy and fairness of decision making [ 15], incorporate the views of the community in policy making thus revitalizing the democratic will [ 16], improve trust and confidence in the health system [ 17], and improve the quality of decision making [ 18].
Effective public engagement enhances the legitimacy and fairness of decision making, which is a key overarching goal of public policy making.
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"In all instances, steps are taken to avoid any conflicts of interest or anything that would compromise the fairness of decision-making".
The challenge remained to defend the rationality and objectivity, the fairness of decision-making in the alternative framework.
Over the last few decades, research on healthcare priority setting has focused on methods of implementation as well as on the development of approaches related to fairness and legitimacy and on more technical aspects of decision making including the use of multi-criteria decision analysis.
However, a few participants expressed the view that public involvement would enhance the legitimacy and fairness of the decision making "On the other hand from a process point of view, from a transparency point of view, it is probably the deficiency in the process".
Legitimacy refers to the moral authority of decision makers (what are the conditions for when a group, organization or person should be given the task of setting priorities), while fairness refers to the moral acceptability (when is there sufficient reason to accept that the decision made are fair) of the decision making process [ 6, 7].
Folger defines distributive justice as concerning the allocation of goods, for example salary and financial incentives, whereas procedural justice concerns "perceptions of the fairness of decision-making processes" [[ 59]:144].
The recommendations include: 1) Shared Decision-Making - collaboration between the public and 'experts' will enhance legitimacy and fairness at all stages of OWTS decision making.
Legitimacy and fairness are related in that legitimacy may be enhanced by a commitment to fair decision making [ 3- 6].
A perfect example of shared decision making.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com