A politics of priority setting: Ideas, interests and institutions in healthcare resource allocation
Bibliographic record
Abstract
Across a range of health care systems there is a responsibility placed on meso-level budget holders to set priorities and allocate resources within constrained budgets. The literature suggests that these organizations have typically defaulted to historical and/or political processes for decision making. Whilst the literature on resource allocation in health care attests to the political nature of decision making, this has remained largely under-theorized and therefore priority setters may be unfamiliar with the analytic benefits of applying insights from the broader political sciences. Conversely, policy scientists may know relatively little about existing research on how healthcare organizations make allocative and redistributive decisions. This paper aims to open a dialogue between these solitudes by exploring political effects on health care priority setting, using the interpretive concepts ideas, interests and institutions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.049 | 0.044 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.004 | 0.004 |
| Science and technology studies | 0.005 | 0.076 |
| Scholarly communication | 0.018 | 0.017 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.006 | 0.008 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".