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Deliberations About Deliberative Methods: Issues in the Design and Evaluation of Public Consultation Processes



99-07.p65 Paper 99-07 1 Anita Kothari NOT FOR CITATION WITHOUT PERMISSION SOLICITING PUBLIC PREFERENCES FOR HEALTH CARE PRIORITIES: A CRITICAL REVIEW OF METHODOLOGIES Anita Kothari Please address correspondence to: Anita Kothari McMaster University Centre for Health Economics and Policy Analysis 1200 Main Street West Hamilton, Ontario, CANADA L8N 3Z5 [email protected] Cite as: Kothari A: Soliciting Public Preserences for Health Care Priorities: A Critical Re- view of Methodologies, McMaster University Centre for Health Economics and Policy Analysis Research Working Paper # 99-07, June 1999. 2 CHEPA Working Paper Series Soliciting Public Preferences for Health Care Priorities: A Critical Review of Methodologies Paper 99-07 3 Anita Kothari ABSTRACT Various health care reforms have included a mandate to solicit local preferences for health care priorities. There is little consensus with respect to defining the participants, outlin- ing the types of decisions which are appropriate for public input or establishing the way in which public preferences can be incorporated into decision-making. This paper critically reviews the methodological approaches that have been used to solicit public preferences for health care priorities in publicly funded systems. Exercises to solicit public preferences were carried out in the United States, England, New Zealand and the Netherlands. These experiences are critically reviewed using a framework which outlines requirements for internal validity, generalizability, reliability and objectivity. While the process of soliciting public preferences is still in its infancy, the analysis demonstrated that some aspects of internal validity, generalizability, reli- ability and objectivity were being given due attention. Key to developing a methodologically sound process is an a priori definition of the public (e.g., citizens or advocacy groups), from which appropriate data collection, sampling and analytical techniques follow

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