Abstract
Increasing emphasis on obtaining consumer opinion in relation to needs assessment and decision making has led to interest in this country about the Oregon experiment in the US. Despite controversies over the efficacy of such approaches, it seems likely that future emphasis will be placed on devising systematic means of gathering information about societal preferences for care. In two articles, Ann Bowling reviews the evidence from America and relates it to the ongoing changes in the British health service. Part 1 introduces the ideas behind the Oregon experiment and examines similar initiatives in the UK.

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