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

Document Type : Commentary

Author

Cardiff School of Law and Politics, Cardiff University, Wales, UK

Abstract

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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References

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History

  • Receive Date: 16 April 2016
  • Revise Date: 12 June 2016
  • Accept Date: 07 June 2016
  • First Publish Date: 01 September 2016

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