Table 4.

Barriers and facilitators for explicit priority setting

Barriers	Facilitators
- lack of trust between stakeholders	- senior level managerial and clinical champions
- physicians not on board	- strong leadership
- advisory panel lacking health economic knowledge and/ or allocation experience	- culture to learn and change
- politics preventing program evaluation	- integrated budgets
- discontinuity of personnel	- resources earmarked for process itself and follow-up on recommendations
- too many administrative demands leaving priority setting as a low priority activity	- built in incentives for appropriate and efficient spending