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

Int J Health Policy Manag. 2017;6(1):43–47

5 Pages Posted: 13 Dec 2016

See all articles by Maarten P. Jansen

Maarten P. Jansen

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

Jan-Kees Helderman

Institute for Management Research, Radboud University, Nijmegen, The Netherlands

Bert Boer

Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands

Rob Baltussen

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

Date Written: July 3, 2016

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 assessment appraisal split. We then argue that HTA should instead be explicitly organized as an ongoing evidence informed 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 decision making 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

Suggested Citation

Jansen, Maarten P. and Helderman, Jan-Kees and Boer, Bert and Baltussen, Rob, Fair Processes for Priority Setting: Putting Theory into Practice; Comment on 'Expanded HTA: Enhancing Fairness and Legitimacy' (July 3, 2016). Int J Health Policy Manag. 2017;6(1):43–47, Available at SSRN: https://ssrn.com/abstract=2884033

Maarten P. Jansen (Contact Author)

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands ( email )

Geert Grooteplein Zuid 10
Nijmegen
Netherlands

Jan-Kees Helderman

Institute for Management Research, Radboud University, Nijmegen, The Netherlands ( email )

Postbus 9108
Nijmegen, 6500 HK
Netherlands

Bert Boer

Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands ( email )

Burgemeester Oudlaan 50
3000 DR Rotterdam, Zuid-Holland 3062PA
Netherlands

Rob Baltussen

Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands ( email )

Geert Grooteplein Zuid 10
Nijmegen
Netherlands

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