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National Institute for Clinical Excellence and its value judgments

Rawlins, M.D. and Culyer, A.J. (2004) National Institute for Clinical Excellence and its value judgments. BMJ. pp. 224-227. ISSN 1756-1833

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The National Institute for Clinical Excellence (NICE) offers health professionals in England and Wales advice on providing NHS patients with the highest attainable standards of care. NICE gives guidance on individual health technologies, the management of specific conditions, and the safety and efficacy of interventional diagnostic and therapeutic procedures. Guidance is based on the best available evidence. The evidence may not, however, be very good and is rarely complete. Those responsible for formulating the NICE’s advice therefore have to make judgments both about what is good and bad in the available science (scientific value judgments) and about what is good for society (social value judgments). In this article we focus on the scientific and social judgments forming the crux of the institute’s assessment of cost effectiveness. Scientific value judgments and those relating to clinical effectiveness are considered elsewhere.

Item Type: Article
Copyright, Publisher and Additional Information: © 2004 BMJ Publishing Group Ltd
Institution: The University of York
Academic Units: The University of York > Economics and Related Studies (York)
Depositing User: Repository Officer
Date Deposited: 29 Sep 2004
Last Modified: 21 Aug 2016 00:05
Published Version: http://dx.doi.org/10.1136/bmj.329.7459.224
Status: Published
Refereed: Yes
URI: http://eprints.whiterose.ac.uk/id/eprint/134

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