Lonely at the top and stuck in the middle? The ongoing challenge of using cost-effectiveness information in priority setting; comment on "use of cost-effectiveness data in priority setting decisions: experiences from the national guidelines for heart diseases in Sweden"

The topic of how cost-effectiveness information informs priority setting in healthcare remains important to both policy and practice. This commentary considers the study carried out by Eckard and colleagues in Sweden. In it we distinguish between the conditions at national and local levels and put forward some recommendations for research into local priority setting in particular.