comparison of Social values in health priority setting: the experiences of 7 countries

Priority setting is a key function to optimize the allocation of healthcare limited resources. Technical and judgmental criteria are used in priority setting decisions. This paper aims to compare the social values in some countries’ health care system based on Clark-Weale framework. We searched the PubMed and Scopus to find published studies on the role of social values in priority setting based on the Clark-Weale framework. We checked references in order to include landmark papers which were not found in the previous step. On the basis of this framework we subsequently compared content and process values based on which priorities are set in identified studies. Our review showed that this framework is applied to describe social values in priority setting in Australia, England, China, Germany, Iran, Republic of Korea, Thailand, Latin American countries and USA. Countries apply the social values in different ways. Some of them consider an extended range of values and some use only a limited number of values. Content values are more often relied than process values. Contextual characteristic and having committees in operation to advise priority setting tasks had a significant role in taking social values into consideration in the process of health priority setting. Establishing robust entities and designing an appropriate regulation are two important steps for making decisions in a value-oriented way. Moreover, experiences of good practice health systems will assist in finding evidence-based methods to enhance public participation in setting health priorities