1. Towards a health ethics policy framework to analyse user fee exemptions Renaud Boulanger, Matthew Hunt, Valéry Ridde

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3. Policies are statements of decisions and actions – Often about government activities, but not exclusively Policy analysis l ooks at the initiation, development, and implementation of policies – Methods: statistical techniques, focus groups, case studies, document analysis – In North America, health policy analysis expanded following the increased government role in health care (1960s) 3 Policy & analysis

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5. 5 1.Set of ethical principles/theories germane to public policy 2.Understanding of how the explicit use of ethical concerns affects policy dynamics 3.Approaches for ethical analyses that can contribute to policy making 4.Indicators of robust, high quality ethical analysis

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8. Limitations of available tools 8 Development Action Evaluation

9. Limitations of available tools 9 ©2014 tagxedo.com n t = 73 n p = 15

10. 1.Adaptable 2.Recognise that policies have life cycles 3.Use (inclusive) empirical data 4.Foster constructive criticism 5.Easy to use 6.Transparent 10 Frameworks’ desirable characteristics

11. Formulation To what extent did the deliberation process respect [procedural value/principle]? Implementation To what extent does the implementation embody [value/principle]? Outcomes Does the policy increase [substantive value/principle]? Emergence Did the agenda setting discourse reflect [substantive value/principle]? 11 Evaluator’s reflexivity Proposal 1.Adaptable 2.Recognise that policies have life cycles 3.Use (inclusive) empirical data 4.Foster constructive criticism 5.Easy to use 6.Transparent

12. Outcomes Does the policy increase fairness? 12 Proposal

13. 13 Next steps 1.Expand the literature review – Continue identifying values and principles – Catalogue tools for various values and principles 2.Apply to case studies – Institutional policies – National policies (e.g.: user fee exemptions) 3.Develop indicators of quality Check http://www.equitesante.org/home/ for updateshttp://www.equitesante.org/home/

14. Funding support Acknowledgements For more information: renaud.boulanger@mail.mcgill.carenaud.boulanger@mail.mcgill.ca