학술논문

Expanded HTA: Enhancing Fairness and Legitimacy
Document Type
article
Source
International Journal of Health Policy and Management, Vol 5, Iss 1, Pp 1-3 (2016)
Subject
Health Technology Assessment (HTA)
Accountability for Reasonableness
Safety
Efficacy
Cost-effectiveness
Equity
Financial Protection
Budget Impact
Fairness
Legitimacy
Public aspects of medicine
RA1-1270
Language
English
ISSN
2322-5939
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.