expanded hta: enhancing fairness and legitimacy

Authors

norman daniels

thalia porteny

julian urritia

abstract

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 viewed as insufficient to guide health decision-makers; if it addresses other issues, such as budget impact, equity, and financial protection, it may be accused of overreaching. but the risk of overreaching can be reduced by embedding hta in a fair, deliberative process that meets the conditions required by accountability for reasonableness.

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Expanded 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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Expanded 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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Daniels, Porteny and Urrutia et al make a good case for the idea that that public decisions ought to be made not only “in the light of” evidence but also “on the basis of” budget impact, financial protection and equity. Health technology assessment (HTA) should, they say, be accordingly expanded to consider matters additional to safety and cost-effectiveness. They also complain that most HTA re...

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Journal title:
international journal of health policy and management

Publisher: kerman university of medical sciences

ISSN

volume 5

issue 1 2016

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