Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
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 fur...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2017-01-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/article_3237_e62e692b3fbcbeee53132befe81f0277.pdf |
| _version_ | 1819041664350552064 |
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| author | Maarten P. Jansen Jan-Kees Helderman Bert Boer Rob Baltussen |
| author_facet | Maarten P. Jansen Jan-Kees Helderman Bert Boer Rob Baltussen |
| author_sort | Maarten P. Jansen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T09:28:35Z |
| format | Article |
| id | doaj.art-7985e1a9e1fd4b5c999cf9629643b358 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-21T09:28:35Z |
| publishDate | 2017-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-7985e1a9e1fd4b5c999cf9629643b3582022-12-21T19:08:50ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392017-01-0161434710.15171/ijhpm.2016.85Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”Maarten P. Jansen0Jan-Kees Helderman1Bert Boer2Rob Baltussen3Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The NetherlandsInstitute for Management Research, Radboud University, Nijmegen, The NetherlandsInstitute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The NetherlandsRadboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The NetherlandsEmbedding 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.http://www.ijhpm.com/article_3237_e62e692b3fbcbeee53132befe81f0277.pdfPriority SettingHealthcare Technology Assessment (HTA)ValuesHTA as LearningFair ProcessesEvidence-Informed Deliberative Processes |
| spellingShingle | Maarten P. Jansen Jan-Kees Helderman Bert Boer Rob Baltussen Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” International Journal of Health Policy and Management Priority Setting Healthcare Technology Assessment (HTA) Values HTA as Learning Fair Processes Evidence-Informed Deliberative Processes |
| title | Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” |
| title_full | Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” |
| title_fullStr | Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” |
| title_full_unstemmed | Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” |
| title_short | Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy” |
| title_sort | fair processes for priority setting putting theory into practice comment on expanded hta enhancing fairness and legitimacy |
| topic | Priority Setting Healthcare Technology Assessment (HTA) Values HTA as Learning Fair Processes Evidence-Informed Deliberative Processes |
| url | http://www.ijhpm.com/article_3237_e62e692b3fbcbeee53132befe81f0277.pdf |
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