Table 3 Conditions of Accountability for Reasonableness framework
From: Health care priority setting: principles, practice and challenges
Condition | Description |
|---|---|
Publicity | Limit-setting decisions and their rationales must be publicly accessible. |
Relevance | These rationales must rest on evidence, reasons, and principles that fair-minded parties (managers, clinicians, patients, and consumers in general) can agree are relevant to deciding how to meet the diverse needs of a covered population under necessary resource constraints. |
Appeals | There is a mechanism for challenge and dispute resolution regarding limit-setting decisions, including the opportunity for revising decisions in light of further evidence or arguments. |
Enforcement | There is either voluntary or public regulation of the process to ensure that the first three conditions are met. |