Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles?
Nigel SB Rawson,1–3 John Adams4 1Eastlake Research Group, Oakville, ON, 2Canadian Health Policy Institute, Toronto, ON, 3Fraser Institute, Vancouver, BC, 4Canadian PKU and Allied Disorders Inc., Toronto, ON, Canada Abstract: In democratic societies, good governance is the key to assuring t...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-11-01
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| Series: | ClinicoEconomics and Outcomes Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/do-reimbursement-recommendation-processes-used-by-government-drug-plan-peer-reviewed-article-CEOR |
| _version_ | 1819295725677182976 |
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| author | Rawson NS Adams J |
| author_facet | Rawson NS Adams J |
| author_sort | Rawson NS |
| collection | DOAJ |
| description | Nigel SB Rawson,1–3 John Adams4 1Eastlake Research Group, Oakville, ON, 2Canadian Health Policy Institute, Toronto, ON, 3Fraser Institute, Vancouver, BC, 4Canadian PKU and Allied Disorders Inc., Toronto, ON, Canada Abstract: In democratic societies, good governance is the key to assuring the confidence of stakeholders and other citizens in how governments and organizations interact with and relate to them and how decisions are taken. Although defining good governance can be debatable, the United Nations Development Program (UNDP) set of principles is commonly used. The reimbursement recommendation processes of the Canadian Agency for Drugs and Technologies in Health (CADTH), which carries out assessments for all public drug plans outside Quebec, are examined in the light of the UNDP governance principles and compared with the National Institute for Health and Care Excellence system in England. The adherence of CADTH's processes to the principles of accountability, transparency, participatory, equity, responsiveness and consensus is poor, especially when compared with the English system, due in part to CADTH's lack of genuine independence. CADTH's overriding responsibility is toward the governments that "own," fund and manage it, while the agency’s status as a not-for-profit corporation under federal law protects it from standard government forms of accountability. The recent integration of CADTH’s reimbursement recommendation processes with the provincial public drug plans’ collective system for price negotiation with pharmaceutical companies reinforces CADTH's role as a nonindependent partner in the pursuit of governments’ cost-containment objectives, which should not be part of its function. Canadians need a national organization for evaluating drugs for reimbursement in the public interest that fully embraces the principles of good governance – one that is publicly accountable, transparent and fair and includes all stakeholders throughout its processes. Keywords: drug reimbursement recommendation, health technology assessment, governance, Canada, drug insurance |
| first_indexed | 2024-12-24T04:46:47Z |
| format | Article |
| id | doaj.art-4ee8b50a70274c529c8500978a9bc3e5 |
| institution | Directory Open Access Journal |
| issn | 1178-6981 |
| language | English |
| last_indexed | 2024-12-24T04:46:47Z |
| publishDate | 2017-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | ClinicoEconomics and Outcomes Research |
| spelling | doaj.art-4ee8b50a70274c529c8500978a9bc3e52022-12-21T17:14:40ZengDove Medical PressClinicoEconomics and Outcomes Research1178-69812017-11-01Volume 972173035696Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles?Rawson NSAdams JNigel SB Rawson,1–3 John Adams4 1Eastlake Research Group, Oakville, ON, 2Canadian Health Policy Institute, Toronto, ON, 3Fraser Institute, Vancouver, BC, 4Canadian PKU and Allied Disorders Inc., Toronto, ON, Canada Abstract: In democratic societies, good governance is the key to assuring the confidence of stakeholders and other citizens in how governments and organizations interact with and relate to them and how decisions are taken. Although defining good governance can be debatable, the United Nations Development Program (UNDP) set of principles is commonly used. The reimbursement recommendation processes of the Canadian Agency for Drugs and Technologies in Health (CADTH), which carries out assessments for all public drug plans outside Quebec, are examined in the light of the UNDP governance principles and compared with the National Institute for Health and Care Excellence system in England. The adherence of CADTH's processes to the principles of accountability, transparency, participatory, equity, responsiveness and consensus is poor, especially when compared with the English system, due in part to CADTH's lack of genuine independence. CADTH's overriding responsibility is toward the governments that "own," fund and manage it, while the agency’s status as a not-for-profit corporation under federal law protects it from standard government forms of accountability. The recent integration of CADTH’s reimbursement recommendation processes with the provincial public drug plans’ collective system for price negotiation with pharmaceutical companies reinforces CADTH's role as a nonindependent partner in the pursuit of governments’ cost-containment objectives, which should not be part of its function. Canadians need a national organization for evaluating drugs for reimbursement in the public interest that fully embraces the principles of good governance – one that is publicly accountable, transparent and fair and includes all stakeholders throughout its processes. Keywords: drug reimbursement recommendation, health technology assessment, governance, Canada, drug insurancehttps://www.dovepress.com/do-reimbursement-recommendation-processes-used-by-government-drug-plan-peer-reviewed-article-CEORDrug reimbursement recommendationhealth technology assessmentgovernanceCanadadrug insurance |
| spellingShingle | Rawson NS Adams J Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? ClinicoEconomics and Outcomes Research Drug reimbursement recommendation health technology assessment governance Canada drug insurance |
| title | Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? |
| title_full | Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? |
| title_fullStr | Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? |
| title_full_unstemmed | Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? |
| title_short | Do reimbursement recommendation processes used by government drug plans in Canada adhere to good governance principles? |
| title_sort | do reimbursement recommendation processes used by government drug plans in canada adhere to good governance principles |
| topic | Drug reimbursement recommendation health technology assessment governance Canada drug insurance |
| url | https://www.dovepress.com/do-reimbursement-recommendation-processes-used-by-government-drug-plan-peer-reviewed-article-CEOR |
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