Charlton, Victoria, DiStefano, Michael, Mitchell, Polly et al. (20 more authors) (2023) We need to talk about values:a proposed framework for the articulation of normative reasoning in health technology assessment. Health Economics, Policy and Law. pp. 1-21. ISSN 1744-1331
Abstract
It is acknowledged that health technology assessment (HTA) is an inherently value-based activity that makes use of normative reasoning alongside empirical evidence. But the language used to conceptualise and articulate HTA's normative aspects is demonstrably unnuanced, imprecise, and inconsistently employed, undermining transparency and preventing proper scrutiny of the rationales on which decisions are based. This paper - developed through a cross-disciplinary collaboration of 24 researchers with expertise in healthcare priority-setting - seeks to address this problem by offering a clear definition of key terms and distinguishing between the types of normative commitment invoked during HTA, thus providing a novel conceptual framework for the articulation of reasoning. Through application to a hypothetical case, it is illustrated how this framework can operate as a practical tool through which HTA practitioners and policymakers can enhance the transparency and coherence of their decision-making, while enabling others to hold them more easily to account. The framework is offered as a starting point for further discussion amongst those with a desire to enhance the legitimacy and fairness of HTA by facilitating practical public reasoning, in which decisions are made on behalf of the public, in public view, through a chain of reasoning that withstands ethical scrutiny.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © National Institutes of Health and the Author(s), 2023. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Politics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) |
Depositing User: | Pure (York) |
Date Deposited: | 26 Apr 2023 15:10 |
Last Modified: | 21 Jan 2025 18:08 |
Published Version: | https://doi.org/10.1017/S1744133123000038 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1017/S1744133123000038 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:198649 |
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Description: We need to talk about values: a proposed framework for the articulation of normative reasoning in health technology assessment
Licence: CC-BY 2.5