Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”

سال انتشار: 1396
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 84

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شناسه ملی سند علمی:

JR_HPM-6-1_006

تاریخ نمایه سازی: 18 مرداد 1403

چکیده مقاله:

Embedding health technology assessment (HTA) in a fair process has great potential to capture societal values relevant to public reimbursement decisions on health technologies. However, the development of such processes for priority setting has largely been theoretical. In this paper, we provide further practical lead ways on how these processes can be implemented. We first present the misconception about the relation between facts and values that is since long misleading the conduct of HTA and underlies the current assessmentappraisal split. We then argue that HTA should instead be explicitly organized as an ongoing evidenceinformed deliberative process, that facilitates learning among stakeholders. This has important consequences for whose values to consider, how to deal with vested interests, how to consider all values in the decisionmaking process, and how to communicate decisions. This is in stark contrast to how HTA processes are implemented now. It is time to set the stage for HTA as learning.

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نویسندگان

Maarten P. Jansen

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

Jan-Kees Helderman

Institute for Management Research, Radboud University, Nijmegen, The Netherlands

Bert Boer

Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands

Rob Baltussen

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

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