title: Are pricing and reimbursement decision-making criteria aligned with public preferences regarding allocation principles in the Polish healthcare sector?
abstract: Given growing interest in multicriteria decision making and multiple cost-effectiveness thresholds' approach, it was decided to investigate its usefulness in Poland. The pricing and reimbursement (P&R) regulations were reviewed and a cross-sectional survey was conducted amongst nurses. The study investigated whether P&R rules are aligned with the preferences of healthcare professional towards the concept of equity. The references to aversion to inequalities in health and capacity to benefit were recognized as the most and least important principle respectively by the group of nurses. Different weightings of health gain dependent on disease severity were accepted by half of the study's population. In the review of legal acts, references to capacity to benefit were frequently found. The opposite was registered for other concepts of equity. There is room for further improvement with respect to the alignment between the Polish P&R decision making criteria and public preferences regarding allocation principles.
authors: Department of Pharmacoeconomics, Warsaw Medical University, Zwirki I Wigury 81, Warszawa, Poland.
authors: Katarzyna
authors: K
authors: Kolasa
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003258:Consumer Behavior / Q000191:economics; D003362:Cost-Benefit Analysis; D003430:Cross-Sectional Studies; D003661:Decision Support Techniques; D005260:Female; D017048:Health Care Costs; D015276:Health Care Rationing / Q000191:economics*; D019981:Health Care Sector / Q000191:economics*; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities / Q000191:economics; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics*; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D011044:Poland; D011639:Public Opinion; D011795:Surveys and Questionnaires
keywords: Central Europe; cost effectiveness; equity; multi criteria decision making; pricing and reimbursement