Priority setting in the German healthcare system: results from a discrete choice experiment

Priority setting in the German healthcare system: results from a discrete choice experiment

Worldwide, social healthcare systems must face the challenges of a growing scarcity of resources and of its inevitable distributional effects. Explicit criteria are needed to define the boundaries of public reimbursement decisions. As Germany stands at the beginning of such a discussion, more formal...

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Bibliographic Details
Published in:International journal of health economics and management Vol. 23; no. 3; pp. 411 - 431
Main Authors: Meusel, V., Mentzakis, E., Baji, P., Fiorentini, G., Paolucci, F.
Format: Journal Article
Language:English
Published: New York Springer US 01-09-2023
Subjects:
Economic Policy
Health Administration
Health Care Management
Health Economics
Medicine
Medicine & Public Health
Public Finance
Public Health
Research Article
Innovation
Decision making
Efficiency
I1
Healthcare
Priority setting
Germany
Discrete choice experiment
Online Access:Get full text
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Summary:Worldwide, social healthcare systems must face the challenges of a growing scarcity of resources and of its inevitable distributional effects. Explicit criteria are needed to define the boundaries of public reimbursement decisions. As Germany stands at the beginning of such a discussion, more formalised priority setting procedures seem in order. Recent research identified multi-criteria decision analysis (MCDA) as a promising approach to inform and to guide decision-making in healthcare systems. In that regard, this paper aims to analyse the relative weight assigned to various criteria in setting priority interventions in Germany. A discrete choice experiment (DCE) was employed in 2015 to elicit equity and efficiency preferences of 263 decision makers, through six attributes. The experiment allowed us to rate different policy interventions based on their features in a composite league table (CLT). As number of potential beneficiaries, severity of disease, individual health benefits and cost-effectiveness are the most relevant criteria for German decision makers within the sample population, the results display an overall higher preference towards efficiency criteria. Specific high priority interventions are mental disorders and cardiovascular diseases.
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ISSN:2199-9023
2199-9031
DOI:10.1007/s10754-023-09347-y