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Table 4 Barriers and facilitators for explicit priority setting

From: Health care priority setting: principles, practice and challenges

Barriers Facilitators
- lack of trust between stakeholders - senior level managerial and clinical champions
- physicians not on board - strong leadership
- advisory panel lacking health economic knowledge and/ or allocation experience - culture to learn and change
- politics preventing program evaluation - integrated budgets
- discontinuity of personnel - resources earmarked for process itself and follow-up on recommendations
- too many administrative demands leaving priority setting as a low priority activity - built in incentives for appropriate and efficient spending