TY - JOUR ID - 3220 TI - Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Syrett, Keith AD - Cardiff School of Law and Politics, Cardiff University, Wales, UK Y1 - 2016 PY - 2016 VL - 5 IS - 9 SP - 565 EP - 567 KW - Health Technology Assessment (HTA) KW - Equity KW - Budget Impact KW - Threshold KW - Independence KW - Regulation KW - Legitimacy DO - 10.15171/ijhpm.2016.75 N2 - This brief commentary seeks to develop the analysis of Daniels, Porteny and Urrutia of the implications of expansion of the scope of health technology assessment (HTA) beyond issues of safety, efficacy, and cost-effectiveness. Drawing in particular on experience in the United Kingdom, it suggests that such expansion can be understood not only as a response to the problem of insufficiency of evidence, but also to that of legitimacy. However, as expansion of HTA also renders it more visibly political in character, it is plausible that its legitimacy may be undermined, rather than enhanced by, independence from the policy process. UR - https://www.ijhpm.com/article_3220.html L1 - https://www.ijhpm.com/article_3220_51dfe6b8e818fdc8751574a6f20d3faa.pdf ER -