International Journal of Health Policy and Management

International Journal of Health Policy and Management

HTA Agencies Need Evidence-Informed Deliberative Processes; Comment on “Use of Evidence-Informed Deliberative Processes by Health Technology Assessment Agencies Around the Globe”

Document Type : Commentary

Author
Michael Schlander 1, 2
1 German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ), & University of Heidelberg, Heidelberg, Germany
2 Institute for Innovation & Valuation in Health Care (InnoValHC), Wiesbaden, Germany
10.34172/ijhpm.2020.22
Abstract
There are at least two reasons why health technology assessment (HTA) agencies need to seek process-based solutions to support the legitimacy of healthcare resource allocation, ie, (i) in pluralistic societies, the existence of often conflicting and incommensurable claims (ie, the “fragmentation of value”) and the lack of a broadly accepted, ethically defensible analytical framework, and (ii) the well-documented loopholes of the conventional logic of cost-effectiveness (CE) with its reductionist concept of allocative efficiency, which fails to reflect the distributive dimension of resource allocation decisions in collectively financed health schemes.
Keywords
Accountability for Reasonableness
Legitimacy
Cost-Effectiveness
Guidance
Social Preferences
Decision-Making
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International Journal of Health Policy and Management
Volume 10, Issue 3
March 2021
Pages 158-161

  • Received Date 05 January 2020
  • Revised Date 06 February 2020
  • Accepted Date 15 February 2020
  • First Published Date 01 March 2021
  • Published Date 01 March 2021