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Jansen, M., Helderman, J., Boer, B., Baltussen, R. (2017). Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”. International Journal of Health Policy and Management, 6(1), 43-47. doi: 10.15171/ijhpm.2016.85
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, 6, 1, 2017, 43-47. doi: 10.15171/ijhpm.2016.85
Jansen, M., Helderman, J., Boer, B., Baltussen, R. (2017). 'Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”', International Journal of Health Policy and Management, 6(1), pp. 43-47. doi: 10.15171/ijhpm.2016.85
Jansen, M., Helderman, J., Boer, B., Baltussen, R. Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”. International Journal of Health Policy and Management, 2017; 6(1): 43-47. doi: 10.15171/ijhpm.2016.85

Fair Processes for Priority Setting: Putting Theory into Practice; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”

Article 6, Volume 6, Issue 1, January 2017, Page 43-47  XML PDF (488 K)
Document Type: Commentary
DOI: 10.15171/ijhpm.2016.85
Authors
Maarten P. Jansen 1; Jan-Kees Helderman2; Bert Boer3; Rob Baltussen1
1Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
2Institute for Management Research, Radboud University, Nijmegen, The Netherlands
3Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
Abstract
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.
Keywords
Priority Setting; Healthcare Technology Assessment (HTA); Values; HTA as Learning; Fair; Processes; Evidence-Informed Deliberative Processes
Main Subjects
Health Technology Assessment
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