The National Institute for Clinical Excellence (NICE).
نویسنده
چکیده
In discussions on the development of the institutional framework for decisions on the benefit package of social health insurance in Germany, the English National Institute for Clinical Excellence (NICE) is considered as either a good or a bad example for reform. According to this study, the procedures and criteria applied by NICE for making health care coverage decisions are legitimate. Procedures are transparent and interest groups are broadly represented. Decision criteria include cost effectiveness of services - albeit only if information on cost effectiveness is available and highly evident. Furthermore, cost effectiveness is not the only criteria for coverage decisions. NICE very rarely induces strong direct rationing, but rather leaves room for discretion. However, the trade-off between maximising allocative efficiency and avoiding distributional consequences becomes apparent.
منابع مشابه
NICE: an evolving institution
When the National Institute for Health and Clinical Excellence (NICE), or the National Institute for Clinical Excellence as it was then known, was first established in 1999 its responsibilities were twofold. It was charged with providing guidance to the National Health Service (NHS) on the use of (mainly new) health technologies (so-called technology appraisals) on the basis of their clinical a...
متن کاملComparative effectiveness review within the U.K.'s National Institute for Health and Clinical Excellence.
The U.K.'s National Institute for Health and Clinical Excellence (NICE) was established to perform three core functions: 1) reduce unwarranted variation in practice across the United Kingdom through the development and dissemination of best practice evidence-based standards; 2) encourage fast diffusion and uniform uptake of high-value medical innovations; and 3) ensure the taxpayers' money is i...
متن کاملCurrent Resources for Evidence-based Practice, July/August 2008.
NICE: The National Institute for Health and Clinical Excellence, and its Recent Guidance for Intrapartum Care The National Institute for Health and Clinical Excellence (NICE) is an independent organization with legal status as a Special Health Authority to the National Health Service (NHS) in England and Wales. Its purpose is to develop guidance regarding quality and cost-e¡ectiveness of clinic...
متن کاملClopidogrel in non-ST segment elevation acute coronary syndromes: an overview of the submission by the British Cardiac Society and the Royal College of Physicians of London to the National Institute for Clinical Excellence, and beyond.
A comprehensive appraisal was undertaken on behalf of the British Cardiac Society and the Royal College of Physicians of London to assess the use of clopidogrel in acute coronary syndromes. The appraisal was submitted to the National Institute for Clinical Excellence (NICE) in August 2003 and contributed to the development of the recently published guidelines for the use of clopidogrel in acute...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of the rheumatic diseases
دوره 61 Suppl 2 شماره
صفحات -
تاریخ انتشار 2002