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Table 1 The four conditions of accountability for reasonableness [15]

From: Priority setting for new technologies in medicine: A transdisciplinary study

Publicity

Limit-setting decisions and their rationales must be publicly accessible.

Relevance

These rationales must rest on information and principled arguments that fair-minded parties (people predisposed to working together under rules of mutual cooperation) can agree are relevant to deciding how to meet the diverse needs of a covered population under necessary resource constraints.

Appeals

There is a mechanism for challenge and dispute resolution regarding limit-setting decisions, including the opportunity for revising decisions in light of further evidence or arguments.

Enforcement

There is either voluntary or public regulation of the process to ensure that the first three conditions are met.