Figure 1.

A4R elements and values

Sources: Based on definitions by S. Clark and A. Wale, “Social values in health priority setting: A conceptual framework,” Journal of Health Organization and Management 26/3 (2012), pp. 293–316, N. Daniels and J. Sabin, “Limits to health care: Fair procedures, democratic deliberation, and the legitimacy problem for insurers,” Philosophy and Public Affairs 26/4 (1997), pp. 303–350, J. Licht et al., “When does transparency generate legitimacy? Experimenting on a context-bound relationship,” Governance 27/1 (2014), pp. 111–134, R. Hoedemaekers and W. Dekkers, “Justice and solidarity in priority setting in health care,” Health Care Analysis 11/4 (2003), pp. 325–343, N. Daniels, “Accountability for reasonableness,” BMJ 321/7272 (2000), p. 1300.