Page 15 - Htain Manual

explanation, explicit priorities are well defined and precise with clear cut boundaries of action

while the implicit ones are usually more flexible in its scope of action.

Explicit Prioritization Implicit Prioritization

 The decision makers are clearly  It may be ad-hoc, or rely on semi-
defined; who makes which decision explicit strategies like peer
benchmarking or oversight
 Has a defined criteria and if it was
met or not with reasons  Decentralization of the responsibility
may be done to the local providers
 What evidences were considered
either via budgetary or some
and their sources
regulatory methods
 Can be challenged

Figure 1: How to identify priority issues as per Australia’s Health Pyramid

The process for prioritizing needs in healthcare varies due to a number of factors;

sociodemographics, geography, disease burden, resources available, etc. to name a few. For

example, figure 1 illustrates how priority setting for healthcare moves up in the form of a

pyramid and what all things are considered while making in a healthcare decision.

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