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Decision makers identified a number of strengths in their priority setting practices.
Hospital financing arrangements also played a key role in determining priority setting practices in hospitals.
Informal criteria refer to subjective considerations that influence priority setting practices in hospitals.
The findings on priority setting practices and criteria are consistent with other studies done elsewhere.
Although studies of actual priority setting practices are rare, they often resemble aspects of the transdisciplinary model.
The current work adds to a limited yet growing body of international literature describing priority setting practices in health organizations.
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Using the Transformative Systems Change Framework (TSCF), this investigation sought to examine the influence of system factors on priority setting practice and procedural fairness.
This paper offers a practical guide attuned to system features influencing the design, implementation, and sustainability of greater fairness in health priority setting practice.
Through the application of the TSCF, a nuanced understanding of priority setting practice is revealed that situates this process within a system of interdependent components that include: norms, operations, regulations, and resources.
Data analysis followed in three phases: i) an inductive analysis of district health priority setting to highlight experiences across each of the three districts selected, ii) deductive analysis applying A4R and the TSCF independently; and iii) a synthesis of concepts of priority setting practice and procedural fairness within a broader, theoretical understanding of the system.
How does this influence priority setting practice?
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