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Perspectives on health technology assessment: response from the patient's perspective

  • Angela Coulter (a1)


Health technology assessment (HTA) involves values and judgments, but there have been few attempts to seek the views of members of the public or to ensure that they have access to the results. Patients and citizens can make an important contribution to HTA by determining priorities for assessment, designing and conducting assessments and appraisals, receiving and using the findings, and engaging in debates about policy priorities and rationing. Those responsible for HTA should make greater efforts to involve the public and ensure that the findings are accessible to patients for use when making treatment choices.



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Chalmers I. 1995 What do I want from health research and researchers when I am a patient? BMJ. 310: 13151318.
Chinitz D. 2002 Regulated competition and citizen participation: Lessons from Israel. Health Expectations. 3: 9096.
Coulter A. 2002 The autonomous patient. London: Nuffield Trust
Coulter A, Ham C. 2000 The global challenge of health care rationing. Buckingham: Open University Press
Daniels N. 1996 Justice, fair procedures, and the goals of medicine. Hastings Center Report. 10–2.
Edwards A, Elwyn G. 2001 Evidence based patient choice: Inevitable or impossible? Oxford: Oxford University Press
Elwyn G, Edwards A, Kinnersley P. 1999 Shared decision-making in primary care: The neglected second half of the consultation. Br J Gen Pract. 477482.
Entwistle VA, Renfrew MJ, Yearley S, Forrester J, Lamont T. 1998 Lay perspectives: Advantages for health research. BMJ. 316: 463466.
Entwistle VA, Watt IS, Davis H, et al. 1998 Developing information materials to present the findings of technology assessments to consumers. Int J Technol Assess Health Care. 14: 4770.
Goodare H, Smith R. 1995 The rights of patients in research. BMJ. 310: 12771278.
Ham C, Coulter A. 2001 Explicit and implicit rationing: Taking responsibility and avoiding blame for health care choices. J Health Serv Res Policy. 6: 163169.
Haynes RB, Devereaux PJ, Guyatt GH. 2002 Physicians' and patients' choices in evidence based practice. BMJ. 324: 1350.
Holm S. 2000 Developments in the Nordic countries–Goodbye to the simple solutions. In: Coulter A, Ham C, eds. The global challenge of health care rationing. Buckingham: Open University Press
Holmes-Rovner M, Llewellyn-Thomas H, Entwistle V, Coulter A, et al. 2001 Patient choice modules for summaries of clinical effectiveness: A proposal. BMJ. 322: 664667.
NICE Citizens Council. 2002 Determining “clinical need”. Salford 21st-23rd November. London: NICE
O'Connor A, Edwards A. 2001 The role of decision aids in promoting evidence-based patient choice. In: Edwards A, Elwyn G, eds. Evidence-based patient choice: Inevitable or impossible? Oxford: Oxford University Press
O'Connor AM, Stacey D, Rovner D, et al. 2002 Decision aids for patients facing health treatment or screening decisions (Cochrane Review). Oxford: Update Software
Oliver S, Milne R, Bradburn J, et al. 2001 Involving consumers in a needs-led research programme: A pilot project. Health Expect. 4: 1828.
Rawlins M. 1999 In pursuit of quality: The National Institute for Clinical Excellence. Lancet. 353: 10791082.
Wennberg JE. 1984 Dealing with medical practice variations: A proposal for action. Health Aff. 3: 632.



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