Experience in the United States with public deliberation about health insurance benefits using the small group decision exercise, CHAT.
"Choosing Healthplans All Together" (CHAT) is a small group decision exercise designed to give the public a voice in priority setting in the face of unsustainable health care costs. It has been used for research, policy, and teaching purposes. Departments of insurance in various states in the United States have used CHAT to determine public opinion about what should be included in basic health insurance packages for the uninsured. Some municipalities have used it to assess public priorities for direct service delivery to the uninsured. Setting up the exercise requires substantial preparation, but the public finds it simple to use and understand.
Danis
Marion
M
Department of Bioethics, National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA. mdanis@nih.gov
Ginsburg
Marjorie
M
Goold
Susan
S
D000293:Adolescent; D000328:Adult; D003256:Community Participation; D003657:Decision Making; D005260:Female; D006126:Group Processes; D006292:Health Priorities; D006801:Humans; D007342:Insurance Benefits; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D016730:Program Development; D014481:United States; D055815:Young Adult