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Centre for Health Economics and Policy Analysis


Fairness in allocating health system resources subject of CHEPA seminar

10 Sep 2009

The views of decision makers on fairness in the allocation of resources in the health systems of Canada, Uganda and Norway will be explored at the first CHEPA monthly seminar of the 2009-10 academic year on Sept. 23.

Lydia Kapiriri, an assistant professor in the Department of Health, Aging and Society at McMaster University, will present a paper entitled Fairness and Accountability for Reasonableness: Do the views of priority setting decision makers differ across health systems and levels of decision-making?

The paper reports the elements of fairness described by 184 decision makers involved in priority setting at various levels of the health systems in the three countries. The results from Canada focus on Ontario. The paper compares the views on fairness against the four conditions of ‘accountability for reasonableness’ ¬– relevance, publicity, appeals and enforcement.

Accountability for reasonableness is an ethical framework for fairness in the priority setting process. The four conditions of the framework have been used to evaluate fairness in several contexts, but no studies have compared the acceptability of the conditions to decision makers across health systems and levels of priority setting.

Kapiriri will discuss how identified elements of fairness aligned with the four conditions of accountability for reasonableness, and the implications of these findings.

The seminar will be held in HSC-1J7 from 12:30 to 1:30 p.m. All are welcome to attend.

Kapiriri has a PhD in International Health from the University of Bergen in Norway, and a Master of Public Health and a Bachelor of Medicine degree from Makerere University in Kampala, Uganda. She also has a Master of Public Health degree in primary health care management from the Royal Tropical Institute, KIT, Amsterdam in the Netherlands.

Her research interests focus on health systems and global health research, including understanding the processes, the criteria and rationales for priority setting in health care at the different levels of decision-making. She is also interested in HIV/AIDS research among underprivileged populations.

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