Table 3.

Elements in Chile’s priority-setting legal instruments

Transparency	GES: The priority-setting process is established in Decree No. 121 and in Law 19966; the latter describes how members of the advisory committee are elected.54 Justifications for decisions made in the priority-setting process must comply with the parameters established in Law 19966.
	Ricarte Soto: The priority-setting process is described in Law 20850, Decree No. 13, and Resolution No. 1457.55 Decree No. 13 describes how persons involved in the process are chosen.56 The elements considered for the priority-setting process are included in the above mentioned legal instruments. Law 20850 indicates that decisions must be made public on the Ministry of Health website.57
Relevance	GES: In the priority-setting process, public health professionals, scholars, representatives named by the president, and two ministries are involved.58 All members of the advisory committee except for those representing the Ministries of Health and Finance have voice and vote.59 Cost-effectiveness and clinical effectiveness analysis are part of the process.60 Certain beneficiaries can freely choose which health service they want to receive, but they must make a shared payment with the government.61 The GES establishes the same guarantees for everyone, except for cases in which different medical treatments are justified due to age, sex, gender, etc.62
	Ricarte Soto: The Ricarte Soto Plan was specially created to consider low-incidence and high-cost diseases. The various stages of the priority-setting process involve health professionals, patients, and the Ministries of Health and Finance.63 Elements of cost- and clinical effectiveness are analyzed, as well as epidemiological data.64 Elements regarding solidarity and equity are embraced via the statement that all explicit guarantees are universal and should be differentiated only by reasonable criteria.65
Review and revision	GES: The GES must be revised every three years; if not, it will be automatically extended for another three years. Only the president can change it in special situations.66
	Ricarte Soto: The Ricarte Soto Plan is revised every three years, but it can also be revised when a new technology requires it. In cases where the plan is not revised, it is automatically extended for another three years. The President can change it in special situations.67
Oversight and supervision	GES: Supervision activities are carried out by the advisory committee, which verifies that the assessment made by the Ministry of Health complies with the requirements established in Decree 121.68
	Ricarte Soto: Decree No. 13 establishes sanctions for any member who does not follow the rules of the priority-setting process.69