{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:16:59Z","timestamp":1753885019388,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["636320003"],"award-info":[{"award-number":["636320003"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Apart from cost\u2010effectiveness, considerations like equity and acceptability may affect health\u2010care priority setting. Preferably, priority setting combines evidence evaluation with an appraisal procedure, to elicit and weigh these considerations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To demonstrate a structured approach for eliciting and evaluating a broad range of assessment criteria, including key stakeholders\u2019 values, aiming to support decision makers in priority setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For a set of cost\u2010effective substitute interventions for depression care, the appraisal criteria were adopted from the Australian Assessing Cost\u2010Effectiveness initiative. All substitute interventions were assessed in an appraisal, using focus group discussions and semi\u2010structured interviews conducted among key stakeholders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Appraisal of the substitute cost\u2010effective interventions yielded an overview of considerations and an overall recommendation for decision makers. Two out of the thirteen pairs were deemed acceptable and realistic, that is investment in therapist\u2010guided and Internet\u2010based cognitive behavioural therapy instead of cognitive behavioural therapy in mild depression, and investment in combination therapy rather than individual psychotherapy in severe depression. In the remaining substitution pairs, substantive issues affected acceptability. The key issues identified were as follows: workforce capacity, lack of stakeholder support and the need for change in clinicians\u2019 attitude.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Systematic identification of stakeholders\u2019 considerations allows decision makers to prioritize among cost\u2010effective policy options. Moreover, this approach entails an explicit and transparent priority\u2010setting procedure and provides insights into the intended and unintended consequences of using a certain health technology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient contribution<\/jats:title><jats:p>Patients were involved in the conduct of the study for instance, by sharing their values regarding considerations relevant for priority setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13277","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T01:53:27Z","timestamp":1622598807000},"page":"1413-1423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["More than cost\u2010effectiveness? Applying a second\u2010stage filter to improve policy decision making"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5337-3001","authenticated-orcid":false,"given":"Kaying","family":"Kan","sequence":"first","affiliation":[{"name":"Rob Giel Research Center Interdisciplinary Centre for Psychopathology and Emotion Regulation University Medical Center Groningen University Center for Psychiatry University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederike","family":"J\u00f6rg","sequence":"additional","affiliation":[{"name":"Rob Giel Research Center Interdisciplinary Centre for Psychopathology and Emotion Regulation University Medical Center Groningen University Center for Psychiatry University of Groningen  Groningen The Netherlands"},{"name":"Research Department GGZ Friesland  Leeuwarden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joran","family":"Lokkerbol","sequence":"additional","affiliation":[{"name":"Centre for Economic Evaluation and Machine Learning Trimbos Institute (Netherlands Institute of Mental Health and Addiction)  Utrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathrine","family":"Mihalopoulos","sequence":"additional","affiliation":[{"name":"Deakin Health Economics School of Health and Social Development Faculty of Health Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Buskens","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University Medical Center Groningen University of Groningen  Groningen The Netherlands"},{"name":"Faculty of Economics and Business University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Schoevers","sequence":"additional","affiliation":[{"name":"Interdisciplinary Centre for Psychopathology and Emotion Regulation University Medical Center Groningen University Center for Psychiatry University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talitha L.","family":"Feenstra","sequence":"additional","affiliation":[{"name":"Department of Science and Engineering Groningen Research Institute of Pharmacy University of Groningen  Groningen The Netherlands"},{"name":"National Institute for Public Health and the Environment (RIVM)  Bilthoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-7-4"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2009.02.006"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.09.023"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462309090199"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"607","article-title":"To each according to need: A community\u2010based approach to allocating health care resources","volume":"149","author":"Birch S","year":"1993","journal-title":"CMAJ"},{"volume-title":"Priority setting processes for healthcare","year":"1995","author":"Honigsbaum F","key":"e_1_2_10_7_1"},{"volume-title":"Guide to the methods of technology appraisal","year":"2013","author":"National Institute for Health and Care Excellence","key":"e_1_2_10_8_1"},{"key":"e_1_2_10_9_1","unstructured":"NederlandZorgInstituut.Beoordeling stand van de wetenschap en praktijk.2015.https:\/\/www.zorginstituutnederland.nl\/binaries\/zinl\/documenten\/rapport\/2015\/01\/15\/beoordeling\u2010stand\u2010van\u2010de\u2010wetenschap\u2010en\u2010praktijk\/Beoordeling+stand+van+de+wetenschap+en+praktijk.pdf. 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