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Table 4 Barriers and facilitators for explicit priority setting

From: Health care priority setting: principles, practice and challenges

Barriers

Facilitators

- lack of trust between stakeholders

- senior level managerial and clinical champions

- physicians not on board

- strong leadership

- advisory panel lacking health economic knowledge and/ or allocation experience

- culture to learn and change

- politics preventing program evaluation

- integrated budgets

- discontinuity of personnel

- resources earmarked for process itself and follow-up on recommendations

- too many administrative demands leaving priority setting as a low priority activity

- built in incentives for appropriate and efficient spending