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Table 2 The four conditions of accountability for reasonableness (A4R)
| Conditions | Description |
|---|---|
| Relevance | Rationales for limit-setting decisions must rest on reasons (information and values) that fair-minded parties (managers, clinicians, patients, and affected others) can agree are relevant to meeting health care needs under resources constraints in the priority setting context |
| Publicity | Limit-setting decisions and their rationales must be publicly accessible |
| 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. |
