International Journal of Health Policy and Management

International Journal of Health Policy and Management

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

Document Type : Commentary

Authors
Maarten P. Jansen 1
Jan-Kees Helderman 2
Bert Boer 3
Rob Baltussen 1
1 Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
2 Institute for Management Research, Radboud University, Nijmegen, The Netherlands
3 Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
10.15171/ijhpm.2016.85
Abstract
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.

Highlights

 

 

Watch the Video Summary here. 

 

Keywords
Priority Setting
Healthcare Technology Assessment (HTA)
Values
HTA as Learning
Fair
Processes
Evidence-Informed Deliberative Processes
Subjects

 

 

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International Journal of Health Policy and Management
Volume 6, Issue 1
2017
Pages 43-47

  • Received Date 16 May 2016
  • Revised Date 03 July 2016
  • Accepted Date 22 June 2016
  • First Published Date 01 January 2017
  • Published Date 01 January 2017