Med Decis Making - An equity framework for health technology assessments.

Tópicos

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Resumo

Despite the inclusion of equity in the design of many health care systems, pragmatic tools for considering equity systematically, alongside the efficiency categories of cost-effectiveness in health technology assessment (HTA), remain underdeveloped. This article develops a framework to help decision makers supplement the standard efficiency criteria of HTA and avoid building inequities, explicit or implicit, into their methods. The framework is intended as a first step toward creating a checklist for alerting decision makers to a wide range of equity considerations for HTA. This framework is intended be used as part of the process through which advisory bodies receive their terms of reference; scope the agenda prior to the selection of a candidate intervention and its comparators for HTA; prepare background briefing for decision makers; and help to structure the discussion and composition of professional and lay advisory groups during the assessment process. The framework is offered as only a beginning of an ongoing process of deliberation and consultation, through which the matters covered can be expected to become more comprehensive and the record of past decisions and their contexts in any jurisdiction adopting the tool can serve to guide subsequent evidence gathering and decisions. In these ways, it may be hoped that equity will be more systematically and fully considered and implemented in both the procedures and decisions of HTA.

Resumo Limpo

despit inclus equiti design mani health care system pragmat tool consid equiti systemat alongsid effici categori costeffect health technolog assess hta remain underdevelop articl develop framework help decis maker supplement standard effici criteria hta avoid build inequ explicit implicit method framework intend first step toward creat checklist alert decis maker wide rang equiti consider hta framework intend use part process advisori bodi receiv term refer scope agenda prior select candid intervent compar hta prepar background brief decis maker help structur discuss composit profession lay advisori group assess process framework offer begin ongo process deliber consult matter cover can expect becom comprehens record past decis context jurisdict adopt tool can serv guid subsequ evid gather decis way may hope equiti will systemat fulli consid implement procedur decis hta

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