Expanded HTA: Enhancing Fairness and Legitimacy

International Journal of Health Policy and Management

Norman Daniels¹  Julian Urritia²  Thalia Porteny² 

[1] Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA;Interfaculty Initiative in Health Policy, Harvard University, Cambridge, MA, USA;

关键词: Health Technology Assessment (HTA);    Accountability for Reasonableness;    Safety;    Efficacy;    Cost-effectiveness;    Equity;    Financial Protection;    Budget Impact;    Fairness;    Legitimacy;   

DOI  :  10.15171/ijhpm.2015.187

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown