It is evident that public spending on health is a necessary but not sufficient condition to meet the health care needs and ensure optimal population’ health outcomes . Public spending on health has been increased worldwide, not only due to rising health needs but also because of the medical and pharmaceutical innovation, the research advances and the population shift from treatment to prevention and health promotion [1, 2]. Priority setting may thus constitute an effective approach in order to increase public participation in health policy decision making and shaping sustainable healthcare systems not only in developing countries where health care resources are restricted [2–4] but in all countries, healthcare systems and settings .