Decentralized health care priority-setting in Tanzania: Evaluating against the accountability for reasonableness framework

Social Science and Medicine

Volumn 71, Issue 4, 2010, Pages 751-759

  Maluka, Stephen ^a,b   Kamuzora, Peter ^a   Sebastiån, Miguel San ^b   Byskov, Jens ^c   Olsen, Øystein E ^d   Shayo, Elizabeth ^e   Ndawi, Benedict ^f   Hurtig, Anna Karin ^b  

^a UNIVERSITY OF DAR ES SALAAM   (Tanzania)

^b UMEÅ UNIVERSITY   (Sweden)

^c DANISH BILHARZIASIS LABORATORY   (Denmark)

^d HAYDOM LUTHERAN HOSPITAL   (Tanzania)

^e NATIONAL INSTITUTE OF MEDICAL RESEARCH   (Tanzania)

^f Primary Health Care Institute PHCI   (Tanzania)

Author keywords

Accountability for reasonableness; Decentralization; Health systems; Priority setting; Tanzania

Indexed keywords

ACCOUNTABILITY; DECENTRALIZATION; DECISION MAKING; HEALTH CARE; HEALTH SERVICES; PUBLIC HEALTH; SUSTAINABILITY;

ADOLESCENT; ADULT; ARTICLE; CHILD; EVIDENCE BASED MEDICINE; FEMALE; GOVERNMENT; HEALTH CARE SYSTEM; HEALTH ECONOMICS; HUMAN; LEGAL ASPECT; LOWEST INCOME GROUP; MALE; MANAGER; MEDICAL DECISION MAKING; POLITICS; PRESCHOOL CHILD; PUBLIC FIGURE; PUBLIC HEALTH; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; TANZANIA;

CONSUMER PARTICIPATION; DECISION MAKING, ORGANIZATIONAL; EMPIRICAL RESEARCH; GROUP PROCESSES; HEALTH CARE RATIONING; HEALTH PRIORITIES; HUMANS; INFORMATION DISSEMINATION; INTERVIEWS AS TOPIC; ORGANIZATIONAL CASE STUDIES; QUALITATIVE RESEARCH; SOCIAL RESPONSIBILITY; TANZANIA;

TANZANIA;

EID: 77955090554     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2010.04.035     Document Type: Article

References (46)

1. Abelson J. Understanding the role of contextual influences on local health care decision making: case study results from Ontario, Canada. Social Science & Medicine 2001, 53(6):777-793.
2. Bryant J.H. Health priority dilemmas in developing countries. The global challenge of health care rationing 2000, 63-74. Open University Press, Buckingham. A. Coulter, C. Ham (Eds.).
3. Daniels N. Just health: Meeting health needs fairly 2008, Cambridge University Press, Cambridge.
4. Daniels N., Sabin J. Limits to health care: fair procedures, democratic deliberation, and the legitimacy problem for insurers. Philosophy and Public Affairs 1997, 26:303-350.
5. Daniels N., Sabin J. The ethics of accountability in managed care reform. Health Affairs 1998, 17:50-64.
6. Daniels N., Sabin J. Setting limits fairly: Can we learn to share medical resources? 2002, Oxford University Press, New York.
7. Friedman A. Beyond accountability for reasonableness. Bioethics 2008, 22:101-112.
8. Gibson J.L., Martin D.K., Singer P.A. Setting priorities in health care organizations: criteria, processes, and parameters of success. BioMed Central Health Services Research 2004, 4:25.
9. Gibson J.L., Martin D.K., Singer P.A. Priority setting in hospitals: fairness, inclusiveness, and the problem of institutional power differences. Social Science & Medicine 2005, 61:2355-2362.
10. Gruskin S., Daniels N. Justice and human rights: priority setting and fair deliberative process. American Journal of Public Health 2008, 98(9).
11. Ham C., Robert G. Reasonable rationing: International experience of priority setting in health care 2003, Open University Press, London.
12. Hasman A., Holm S. Accountability for reasonableness: opening the black box of process. Health Care Analysis 2005, 13(4).
13. Kapiriri L., Martin D.K. Priority setting in developing countries health care institutions: the case of a Ugandan Hospital. BMC Health Services Research 2006, 6:127.
14. Kapiriri L., Martin D.K. A strategy to improve priority setting in developing countries. Health Care Analysis 2007, 15:159-167.
15. Kapiriri L., Martin D.K. Bedsides rationing by health practitioners in a context of extreme resource constraints: the case of Uganda. Medical Decision-making 2007, 27:44-52.
16. Kapiriri L., Martin D.K. Successful priority setting in low and middle income countries: a framework for evaluation. Health Care Analysis 2009.
17. Kapiriri L., Norheim F., Martin D. Priority setting at the micro-meso- and macro- levels in Canada, Norway and Uganda. Health Policy 2007, 82(1):78-94.
18. Kapiriri L., Norheim F., Martin D. Fairness and accountability for reasonableness: do the views of priority setting decision makers differ across health systems and levels of decision-making?. Social Science & Medicine 2009, 68:766-773.
19. Klein R., Williams A. Setting priorities: what is holding us back-inadequate information or inadequate institutions?. The global challenge of health care rationing 2000, 15-26. Open University Press, Buckingham. A. Coulter, C. Ham (Eds.).
20. Kvåle S. Interviews, an introduction to qualitative research interviewing 1999, Sage Publishers, Thousand Oaks, CA.
21. Lauridsen S., Lippert-Rasmussen K. Legitimate allocation of public healthcare: beyond accountability for reasonableness. Public Health Ethics 2009, 2(1).
22. Martin D.K., Giacomini M., Singer P.A. Fairness, accountability for reasonableness, and the views of priority setting decision-makers. Health Policy 2002, 61:279-290.
23. Martin D.K., Reeleder D., Keresztes C., Singer P.A. What do hospital decision makers in Ontario, Canada, have to say about their fairness of priority setting in their institutions?. BMC Health Services Research 2005, 5:8.
24. Martin D.K., Singer P.A. A strategy to improve priority setting in health care institutions. Health Care Analysis 2004, 11(1):59-68.
25. Menon D., Stafinski T., Martin D. Priority setting in healthcare: who, how, and is it fair?. Health Policy 2007, 84:220-233.
26. Mitton C., Donaldson C. Setting priorities in Canadian regional health authorities: a survey of key decision makers. Health Policy 2002, 60(1):39-58.
27. Mitton C., Donaldson C. Priority setting in health authorities: moving beyond the barriers. The Calgary experience. Health Care Quarterly 2005, 8(3):49-55.
28. Mitton C., Teng F., Mackenzie J. Priority setting in the provincial health services authority: survey of key decision makers. BMC Health Services Research 2007, 7:84.
29. MoH Proposals for health sector reform 1994, MoH, Dar es Salaam.
30. MoH Tanzania Ministry of Health (2000). Planning guide for local authorities regarding utilisation of the health basket grant 2000, MoH, Dar es Salaam
31. MoHSW Joint external evaluation of the health sector in Tanzania, 1999-2006 2007, MoHSW, Dar es Salaam.
32. MoHSW, PMORALG Comprehensive council health planning guideline 2007, MoHSW/PMORALG.
33. Mtei, G. P., Mulligan, J., Palmer, N., Kamuzora, P., Ally, M., & Mills, A. (2007). An assessment of the health financing system in Tanzania: implications for equity and social health insurance. Report on Shield Work Package 1.
34. Mubyazi G., Kamugisha M., Mushi A., Blas E. Implications of decentralization for the control of tropical diseases in Tanzania: a case study of four districts. International Journal of Health Planning and Management 2004, 19:167-185.
35. Mubyazi G.M., Mushi A., Kamugisha M., Massaga J., Mdira K.Y., Segeja M., et al. Community views on health sector reform and their participation in health priority setting: case of Lushoto and Muheza districts, Tanzania. Journal of Public Health 2007, 10:1-10.
36. Rawlins M. Pharmacopolitics and deliberative democracy. Clinical Medicine 2005, 5(5):471-475.
37. Reeleder D., Goel V., Singer P.A., Martin D.K. Leadership and priority setting process: the perspective of hospital CEOs. Health Policy 2006, 79(1):24-34.
38. Rid A. Justice and procedure: how can 'accountability for reasonableness' result in fair limit setting decisions?. Journal of Medical Ethics 2009, 35:12-16.
39. Sabik L.M., Lie R.K. Priority setting in health care: lessons from the experience of eight countries. International Journal of Equity in Health 2008, 7:4.
40. Sibbald S., Singer P., Upshur R., Martin D.K. Priority setting: what constitute success? A conceptual framework for successful priority setting. BMC Health Services Resaerch 2009.
41. URT National package of essential health interventions in Tanzania 2000, Ministry of Health, Dar es Salaam.
42. URT Guidelines for the establishment and operations of council health services boards and health committees 2001, Ministry of Health, Dar es Salaam.
43. Walton N.A., Martin D.K., Peter E.H., Pingle D.M., Singer P.A. Priority setting and cardiac surgery: a qualitative case study. Health Policy 2007, 80(3):444-458.
44. WHO Primary health care 1978, Report of the international conference on primary health care, WHO, Geneva.
45. WHO Primary health care: Now more than ever 2008, The World Health Report 2008, WHO, Geneva.
46. Yin R.K. Case study research: Design and methods 1994, Sage Publications Inc, Thousand Oaks, CA.