Skip to main content
    • Aa
    • Aa

Health technology assessment in four countries: response from political science

  • David Chinitz (a1)

Four studies, each on health technology assessment (HTA) in a different country, are presented in this volume. Conveying differing levels of sensitivity to political aspects of HTA, their storylines are similar in terms of the importance of the institutional structures that produce HTA and mediate its influence on health policy decision making. Regarding the internal politics of HTA, the latter appears to have developed in a relatively depoliticized environment, supported by a dense and varied web of institutional sites for funding, production, and consumption of HTA, buffered from the capricious impacts of electoral politics. Regarding external politics, HTA in all the countries began with relatively politically innocuous studies of technologies recognized to be of major import to national health systems or researcher-initiated studies. However, with increased focus in health systems on explicit determination of health benefits baskets, the role of HTA has become more high profile. This means that political accountability for the entire HTA process will increase. The implication is that future management of HTA programs will require self-conscious attention to the building of institutions capable of handling the delicate process of integrating science and politics in health policy.

Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

BurkeK. 2002No cash to implement NICE, health authorities tell MPs. BMJ. 324: 258.

BergM, van der GrintenT, KlazingaN. 2004 Technology assessment, priority setting, and appropriate care in Dutch health care. Int J Technol Assess Health Care. 20: 3543.

CarlssonP. 2004 Health technology assessment and priority setting for health policy in Sweden. Int J Technol Assess Health Care. 20: 4454.

MartinD. 2001Priority setting decision for new cancer drugs: A qualitative case study. Lancet. 358: 16761681.

MulrowCD, LohrKN. 2001Proof and policy form medical research evidence. J Health Polit Policy Law. 26: 249266.

ShaniS, SiebzehnerMI, LuxenburgO, ShemerJ. 2000Setting priorities for the adoption of health technologies on a national level- the Israeli experience. Health Policy. 54: 169185.

StevensA, MilneR. 2004 Health technology assessment in England and Wales. Int J Technol Assess Health Care. 20: 1124.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Full text views

Total number of HTML views: 2
Total number of PDF views: 12 *
Loading metrics...

Abstract views

Total abstract views: 63 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 28th May 2017. This data will be updated every 24 hours.