The survey places particular emphasis on collecting both key quantitative information, like household welfare and service access, as well as qualitative information, such as service evaluations and population priorities.
Standard ethical principles of a) utility, b) efficiency and c) fairness [ 34] were combined with considerations of a) the goal of healthcare, b) the opportunity costs, and c) the population priorities and access to healthcare, respectively.
Specific contextual criteria may be defined on the basis of the following generic criteria/themes: mission and scope of the healthcare system, opportunity costs; population priorities & access; system capacity and appropriate use; political context; and stakeholder pressures.
Organisational cultures characterized by supervision and management systems focused on compliance to centrally defined outputs and targets can constrain front line managers and providers from responding to patient and population priorities.
Systematic consideration of criteria defined on the basis of population priorities identified by decisionmakers (e.g., more value for interventions targeted to vulnerable populations such as children, the elderly, those in remote areas) is another pragmatic way to incorporate equity into decisionmaking.
However, components such as historical context, stakeholder pressure, population priorities and access, and ability of a healthcare system to make appropriate use of intervention, factors often critical in healthcare decisions,[ 41, 75, 76] do not have consistent impact on how an intervention is valued.
Value components that can not be readily incorporated into a matrix were not included and were listed as extrinsic components for consideration at the jurisdictional level or on a case-by-case basis (e.g., equity, historical context, stakeholder pressure, population priorities and access, ability of healthcare system to make appropriate use of intervention) (module 6).
Marginalized populations remain a priority population for HIV care, treatment, and support although they are generally underserved (16).
Citigroup will also gain access to that state's large Hispanic population, a priority market.
