The Need for Global Application of the Accountability for Reasonableness Approach to Support Sustainable Outcomes Comment on "Expanded HTA: Enhancing Fairness and Legitimacy"
نویسندگان
چکیده
منابع مشابه
the need for global application of the accountability for reasonableness approach to support sustainable outcomes; comment on “expanded hta: enhancing fairness and legitimacy”
the accountability for reasonableness (afr) concept has been developed and discussed for over two decades. its interpretation has been studied in several ways partly guided by the specific settings and the researchers involved. this has again influenced the development of the concept, but not led to universal application. the potential use in health technology assessments (htas) has recently be...
متن کاملBeyond the Black Box Approach to Ethics!; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
In the editorial published in this journal, Daniels and colleagues argue that his and Sabin’s accountability for reasonableness (A4R) framework should be used to handle ethical issues in the health technology assessment (HTA)-process, especially concerning fairness. In contrast to this suggestion, it is argued that such an approach risks suffering from the irrrelevance or insufficiency they war...
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This brief commentary seeks to develop the analysis of Daniels, Porteny and Urrutia of the implications of expansion of the scope of health technology assessment (HTA) beyond issues of safety, efficacy, and cost-effectiveness. Drawing in particular on experience in the United Kingdom, it suggests that such expansion can be understood not only as a response to the problem of insufficiency of evi...
متن کاملExpanded HTA: Enhancing Fairness and Legitimacy
All societies face the need to make judgments about what interventions (both public health and personal medical) to provide to their populations under reasonable resource constraints. Their decisions should be informed by good evidence and arguments from health technology assessment (HTA). But if HTA restricts itself to evaluations of safety, efficacy, and cost-effectiveness, it risks being vie...
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ژورنال
عنوان ژورنال: International Journal of Health Policy and Management
سال: 2016
ISSN: 2322-5939
DOI: 10.15171/ijhpm.2016.106