The bare necessities? A realist review of necessity argumentations used in health care coverage decisions
| Autor: | Tineke Kleinhout-Vliek, Antoinette de Bont, Bert Boer |
|---|---|
| Přispěvatelé: | Health Care Governance (HCG) |
| Rok vydání: | 2017 |
| Předmět: |
Patients
Web of science Cost-Benefit Analysis media_common.quotation_subject Decision Making MEDLINE Context (language use) Insurance Coverage Argumentation theory 03 medical and health sciences 0302 clinical medicine Media use Political science Health care Humans Quality (business) Mass Media 030212 general & internal medicine Set (psychology) media_common Insurance Health Actuarial science business.industry 030503 health policy & services Health Policy Administrative Personnel Public relations Public Opinion 0305 other medical science business |
| Zdroj: | Health Policy, 121(7), 731-744. Elsevier Ireland Ltd |
| ISSN: | 0168-8510 |
| DOI: | 10.1016/j.healthpol.2017.04.011 |
| Popis: | Context Policy makers and insurance companies decide on coverage of care by both calculating (cost-) effectiveness and assessing the necessity of coverage. Aim To investigate argumentations pertaining to necessity used in coverage decisions made by policy makers and insurance companies, as well as those argumentations used by patients, authors, the public and the media. Methods This study is designed as a realist review, adhering to the RAMESES quality standards. Embase, Medline and Web of Science were searched and 98 articles were included that detailed necessity-based argumentations. Results We identified twenty necessity-based argumentation types. Seven are only used to argue in favour of coverage, five solely for arguing against coverage, and eight are used to argue both ways. A positive decision appears to be facilitated when patients or the public set the decision on the agenda. Moreover, half the argumentation types are only used by patients, authors, the public and the media, whereas the other half is also used by policy makers and insurance companies. The latter group is more accepted and used in more different countries. Conclusion The majority of necessity-based argumentation types is used for either favouring or opposing coverage, and not for both. Patients, authors, the public and the media use a broader repertoire of argumentation types than policy makers and insurance companies. |
| Databáze: | OpenAIRE |
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