CHAT has its limits. It is a three-hour exercise. However, the real world problems of healthcare rationing and priority-setting are too complex for a three-hour exercise. What is needed, as a supplement, are sustained processes of rational democratic deliberation that can address the challenges to healthcare justice posed by costly emerging medical technologies, such as these targeted cancer therapies.
Hurst SA, Schindler M, Goold SD, Danis M. Swiss-CHAT: citizens discuss priorities for Swiss health insurance coverage. Int J Health Policy Manag. 2018;7(8):746-754. doi:10.15171/ijhpm.2018.15
Davis C, Naci H, Gurpinar E, Poplavska E, Pinto A, Aggarwal A. Availability of evidence of benefits on overall survival and quality of life of cancer drugs approved by European Medicine Agency: retrospective cohort study of drug approvals 2009-2013. BMJ. 2017;359:j4530. doi:10.1136/bmj.j4530
Schilsky RL, Schnipper LE. Hans Christian Andersen and the value of new cancer treatments. J Natl Cancer Inst. 2018;110 (5):441-442. doi:10.1093/jnci/djx261
Bach PB, Giralt SA, Saltz LB. FDA approval of tisagenlecleucel: promise and complexities of a $475000 cancer drug. JAMA. 2017;318(19):1861-1862. doi:10.1001/jama.2017.15218
Vivot A, Jacot J, Zeitoun JD, Ravaud P, Crequit P, Porcher R. Clinical benefit, price, approval characteristics of FDA-approved new drugs for treating advanced solid cancer, 2000-2015. Ann Oncol. 2017; 28(5):1111-1116. doi:10.1093/annonc/mdx053
Fleck, L. M. (2018). Healthcare Priority-Setting: Chat-Ting Is Not Enough; Comment on “Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage”. International Journal of Health Policy and Management, 7(10), 961-963. doi: 10.15171/ijhpm.2018.66
MLA
Leonard M. Fleck. "Healthcare Priority-Setting: Chat-Ting Is Not Enough; Comment on “Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage”", International Journal of Health Policy and Management, 7, 10, 2018, 961-963. doi: 10.15171/ijhpm.2018.66
HARVARD
Fleck, L. M. (2018). 'Healthcare Priority-Setting: Chat-Ting Is Not Enough; Comment on “Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage”', International Journal of Health Policy and Management, 7(10), pp. 961-963. doi: 10.15171/ijhpm.2018.66
VANCOUVER
Fleck, L. M. Healthcare Priority-Setting: Chat-Ting Is Not Enough; Comment on “Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage”. International Journal of Health Policy and Management, 2018; 7(10): 961-963. doi: 10.15171/ijhpm.2018.66