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Fair processes, as defined for example by Daniels' and Sabin's accountability for reasonableness framework, have been identified as essential for securing socially acceptable priority setting decisions.
We argue that these findings have significant theoretical implications for the accountability for reasonableness framework and propose a fifth condition, the "empowerment condition", which states that there should be efforts to minimise power differences in the decision-making context and to optimise effective opportunities for participation in priority setting.
An extensive literature has developed around Daniels' and Sabin's accountability for reasonableness framework.
The REACT project aimed at testing the application and effects of the Accountability for Reasonableness framework.
The accountability for reasonableness framework (A4R) is successful in introducing such a learning process [ 43].
The analysis, overall, suggests that the Accountability for Reasonableness framework could be an important tool for improving priority-setting processes in the contexts of resource-poor settings.
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According to the Accountability for Reasonableness-framework, which was tested as a priority setting tool at district level by the REACT project [ 23], there is a need to build consensus among local stakeholders about how equitable and easy access to condoms may be achieved.
This is acknowledged by the 'Accountability for Reasonableness' (A4R) framework [ 2, 3] which is based on the believe that any consensus on priority setting weights and subsequent results may be difficult to achieve because of these distinct perspectives of stakeholders.
This is necessary to fulfill the relevance condition of the accountability for reasonableness (A4R) framework of Daniels and Sabin [ 6], which states that "Decisions should be made on the basis of reasons (i.e. evidence, principles, values, arguments) that 'fair-minded' stakeholders can agree are relevant under the circumstances".
Our framework around ethical processes is based upon the "accountability for reasonableness" model developed by Daniels & Sabin [ 26] and adapted by Gibson, Martin & Singer [ 27].
The framework is divided into five ethical processes, based on Daniels' widely used "accountability for reasonableness" model [ 16] and ten ethical values identified from previous research and expert consultation.
Related(16)
rationale framework
legitimacy framework
appropriateness framework
suitability framework
adequacy framework
accuracy framework
likelihood framework
relevance framework
fairness framework
logical framework
fair framework
sensible framework
reasonableness test
reasonableness matter
reasonableness bias
reasonableness standard
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