Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”

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 th...

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Main Author: Keith Syrett
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2016-09-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/article_3220_51dfe6b8e818fdc8751574a6f20d3faa.pdf
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author Keith Syrett
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description 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.
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spelling doaj.art-afdf6906c5a6414ebab8d58fd73daf312022-12-22T01:39:38ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392016-09-015956556710.15171/ijhpm.2016.75Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”Keith Syrett0Cardiff School of Law and Politics, Cardiff University, Wales, UKThis 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.http://www.ijhpm.com/article_3220_51dfe6b8e818fdc8751574a6f20d3faa.pdfHealth Technology Assessment (HTA)EquityBudget ImpactThresholdIndependenceRegulationLegitimacy
spellingShingle Keith Syrett
Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
International Journal of Health Policy and Management
Health Technology Assessment (HTA)
Equity
Budget Impact
Threshold
Independence
Regulation
Legitimacy
title Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
title_full Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
title_fullStr Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
title_full_unstemmed Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
title_short Expanded HTA, Legitimacy and Independence; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
title_sort expanded hta legitimacy and independence comment on expanded hta enhancing fairness and legitimacy
topic Health Technology Assessment (HTA)
Equity
Budget Impact
Threshold
Independence
Regulation
Legitimacy
url http://www.ijhpm.com/article_3220_51dfe6b8e818fdc8751574a6f20d3faa.pdf
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