Representation and legitimacy in health policy formulation at a national level: Perspectives from a study of health technology eligibility procedures in the United Kingdom

Milewa, Timothy

doi:10.1016/j.healthpol.2007.09.001

Cited by 23 publications

(24 citation statements)

References 13 publications

(10 reference statements)

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“…WINZ is a key player in both sustaining and managing a critical service; however, this research illustrates incidents where policy decisions appear to be applied in an indiscriminate and sometimes obtuse manner. As recently pointed out, "legitimate" voices are not always represented in political debates about stakeholder needs [32]. Health is a political issue.…”

Section: Discussionmentioning

confidence: 99%

Managing public health care policy: Who's being forgotten?

2008

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Section: Discussionmentioning

confidence: 99%

Managing public health care policy: Who's being forgotten?

2008

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“…First, decision making should be rational [23]. Second, decision making should be fair [24]. Third, decision making should be efficient [20].…”

Section: Legitimizing Decision Makingmentioning

confidence: 99%

Institutionalizing Telemedicine Applications: The Challenge of Legitimizing Decision-Making

Zanaboni¹,

Lettieri²

2011

J Med Internet Res

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During the last decades a variety of telemedicine applications have been trialed worldwide. However, telemedicine is still an example of major potential benefits that have not been fully attained. Health care regulators are still debating why institutionalizing telemedicine applications on a large scale has been so difficult and why health care professionals are often averse or indifferent to telemedicine applications, thus preventing them from becoming part of everyday clinical routines. We believe that the lack of consolidated procedures for supporting decision making by health care regulators is a major weakness.We aim to further the current debate on how to legitimize decision making about the institutionalization of telemedicine applications on a large scale.We discuss (1) three main requirements— rationality, fairness, and efficiency—that should underpin decision making so that the relevant stakeholders perceive them as being legitimate, and (2) the domains and criteria for comparing and assessing telemedicine applications—benefits and sustainability.According to these requirements and criteria, we illustrate a possible reference process for legitimate decision making about which telemedicine applications to implement on a large scale. This process adopts the health care regulators’ perspective and is made up of 2 subsequent stages, in which a preliminary proposal and then a full proposal are reviewed.

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“…Certain resources or programmes are believed to be essential to ensure positive outcomes, such as better health, limitation of impact of diseases or impairments on daily life or improvement of participation in specific areas of life. In the context of health problems and disability, meeting specific eligibility criteria may result in access to drugs or treatment [4], access to health insurance [5,6], access to assistive technology [7], admission to a programme [8,9] or access to specialised interventions in education systems [10]. For this purpose, individuals are identified as having special health care needs [11], special support needs in a given setting [12] or belonging to a special group requiring specialised interventions and environments [13].…”

Section: Methodsmentioning

confidence: 99%

Development of an ICF-based eligibility procedure for education in Switzerland

Hollenweger

2011

BMC Public Health

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Starting in January 2011, Switzerland will implement a multidimensional, context-sensitive procedure to establish eligibility in education systems. This paper provides a brief overview of the different eligibility-related practices with a special focus on children with disabilities. The paper then outlines the philosophical and conceptual framework of the eligibility procedure based on the International Classification of Functioning, Disability and Health, and the UN Convention on the Rights of Persons with Disability. The different components and methodology applied to organise information in the process towards establishing eligibility are also presented. Finally, some observations are made regarding transparent and just applications of the eligibility procedure, and the implementation of this new eligibility procedure.

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Representation and legitimacy in health policy formulation at a national level: Perspectives from a study of health technology eligibility procedures in the United Kingdom

Cited by 23 publications

References 13 publications

Managing public health care policy: Who's being forgotten?

Managing public health care policy: Who's being forgotten?

Institutionalizing Telemedicine Applications: The Challenge of Legitimizing Decision-Making

Development of an ICF-based eligibility procedure for education in Switzerland

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