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Title

COMMENTARY: EXPANDED HTA, LEGITIMACY AND INDEPENDENCE COMMENT ON "EXPANDED HTA: ENHANCING FAIRNESS AND LEGITIMACY"

Writers

SYRETT KEITH

Pages

 Start Page 565 | End Page 567

Keywords

HEALTH TECHNOLOGY ASSESSMENT (HTA) 

Abstract

 This brief commentary seeks to develop the analysis of Daniels, Porteny and Urrutia of the implications of expansion of the scope of health technology assessment (HTA) beyond issues of safety, efficacy, and cost-effectiveness. Drawing in particular on experience in the United Kingdom, it suggests that such expansion can be understood not only as a response to the problem of insufficiency of evidence, but also to that of LEGITIMACY. However, as expansion of HTA also renders it more visibly political in character, it is plausible that its LEGITIMACY may be undermined, rather than enhanced by, INDEPENDENCE from the policy process.

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