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Table 1 The four conditions of 'accountability for reasonableness'

From: What do hospital decision-makers in Ontario, Canada, have to say about the fairness of priority setting in their institutions?

Relevance

Rationales rest on evidence, reasons, and principles that fair-minded parties can agree are relevant to deciding how to meet the diverse needs of a covered population under necessary resource constraints.

Publicity

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

Appeals/Revision

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