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Comment
. 2017 Apr 1;6(4):233-236.
doi: 10.15171/ijhpm.2016.118.

Health Technology Assessment: Global Advocacy and Local Realities Comment on "Priority Setting for Universal Health Coverage: We Need Evidence-Informed Deliberative Processes, Not Just More Evidence on Cost-Effectiveness"

Kalipso Chalkidou  1 , Ryan Li  1 , Anthony J Culyer  2 , Amanda Glassman  3 , Karen J Hofman  4 , Yot Teerawattananon  5
Affiliations
Comment

Health Technology Assessment: Global Advocacy and Local Realities Comment on "Priority Setting for Universal Health Coverage: We Need Evidence-Informed Deliberative Processes, Not Just More Evidence on Cost-Effectiveness"

Kalipso Chalkidou et al. Int J Health Policy Manag. .

Abstract

Cost-effectiveness analysis (CEA) can help countries attain and sustain universal health coverage (UHC), as long as it is context-specific and considered within deliberative processes at the country level. Institutionalising robust deliberative processes requires significant time and resources, however, and countries often begin by demanding evidence (including local CEA evidence as well as evidence about local values), whilst striving to strengthen the governance structures and technical capacities with which to generate, consider and act on such evidence. In low- and middle-income countries (LMICs), such capacities could be developed initially around a small technical unit in the health ministry or health insurer. The role of networks, development partners, and global norm setting organisations is crucial in supporting the necessary capacities.

Keywords: Cost-Effectiveness Analysis (CEA); Deliberation; Efficiency; Governance; Universal Coverage.

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References

    1. Balthussen R, Jansen MP, Mikkelsen E, et al. Priority setting for universal health coverage: we need evidence-informed deliberative processes, not just more evidence on cost-effectiveness. Int J Health Policy Manag 2016; forthcoming. - PMC - PubMed
    1. Lomas J, Culyer T, McCutcheon C, McAuley L, Law S. Conceptualizing and Combining Evidence for Health System Guidance. Ontario: Canadian Health Services Research Foundation; 2005.
    1. Culyer AJ, Lomas J. Deliberative processes and evidence-informed decision making in healthcare: do they work and how might we know? Evidence & Policy: A Journal of Research, Debate and Practice. 2006;2(3):357–371. doi: 10.1332/174426406778023658. - DOI
    1. Culyer AJ. Involving stakeholders in healthcare decisions--the experience of the National Institute for Health and Clinical Excellence (NICE) in England and Wales. Healthc Q. 2005;8(3):56–60. doi: 10.12927/hcq..17155. - DOI - PubMed
    1. Canadian Agency for Drugs and Technologies in Health (CADTH). From CCOHTA to CADTH... Evolution to an Agency. Annual Report 2005-2006. http://www.cadth.ca/media/pdf/cadth_annual_05-06_e.pdf. Published 2006.