Expanded HTA: Enhancing Fairness and Legitimacy

Int J Health Policy Manag, 5(1):1-3, 2016, DOI: 10.15171/ijhpm.2015.187

3 Pages Posted: 3 Dec 2015

See all articles by Norman Daniels

Norman Daniels

Harvard University - T.H. Chan School of Public Health

Porteny Thalia

Harvard University - Interfaculty Initiative in Health Policy

Urrutia Julian

Harvard University - Interfaculty Initiative in Health Policy

Date Written: December 1, 2015

Abstract

All societies face the need to make judgments about what interventions (both public health and personal medical) to provide to their populations under reasonable resource constraints. Their decisions should be informed by good evidence and arguments from health technology assessment (HTA). But if HTA restricts itself to evaluations of safety, efficacy, and cost-effectiveness, it risks being viewed as insufficient to guide health decision-makers; if it addresses other issues, such as budget impact, equity, and financial protection, it may be accused of overreaching. But the risk of overreaching can be reduced by embedding HTA in a fair, deliberative process that meets the conditions required by accountability for reasonableness.

Keywords: Health Technology Assessment (HTA); Accountability for Reasonableness; Safety; Efficacy; Cost-effectiveness; Equity; Financial Protection; Budget Impact; Fairness; Legitimacy

Suggested Citation

Daniels, Norman and Thalia, Porteny and Julian, Urrutia, Expanded HTA: Enhancing Fairness and Legitimacy (December 1, 2015). Int J Health Policy Manag, 5(1):1-3, 2016, DOI: 10.15171/ijhpm.2015.187, Available at SSRN: https://ssrn.com/abstract=2697905

Norman Daniels (Contact Author)

Harvard University - T.H. Chan School of Public Health ( email )

677 Huntington Avenue
Boston, MA MA 02115
United States

Porteny Thalia

Harvard University - Interfaculty Initiative in Health Policy ( email )

180 Longwood Avenue
Boston, MA 02115
United States

Urrutia Julian

Harvard University - Interfaculty Initiative in Health Policy ( email )

180 Longwood Avenue
Boston, MA 02115
United States

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