Innovation as a value in healthcare priority-setting
The UK experience
Bibliographic Data
| ID | 2065286 |
|---|---|
| Authors | Victoria Charlton (0000-0002-7407-2627, King's College London, corresponding author), Annette Rid (0000-0003-1117-1975, King's College London) |
| Year | 2019 |
| Volume | 32 |
| Issue | 2 |
| Pages | 208-238 |
| Publication date | 2019-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Justice Research (JOURNAL) |
| Journal identifiers | ISSN: 0885-7466 • E-ISSN: 1573-6725 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s11211-019-00333-9 |
| PMID | 31281204 |
| OpenAlex | W2939587909 |
| Language | EN |
| Citations received | 4 |
| References cited | 32 |
All healthcare systems operate with limited resources and therefore need to set priorities for allocating resources across a population. Trade-offs between maximising health and promoting health equity are inevitable in this process. In this paper, we use the UK's National Institute for Health and Care Excellence (NICE) as an example to examine how efforts to promote healthcare innovation in the priority-setting process can complicate these trade-offs. Drawing on NICE guidance, health technology assessment reports and relevant policy documents, we analyse under what conditions NICE recommends the National Health Service fund technologies of an "innovative nature", even when these technologies do not satisfy NICE's cost-effectiveness criteria. Our findings fail to assuage pre-existing concerns that NICE's approach to appraising innovative technologies curtails its goals to promote health and health equity. They also reveal a lack of transparency and accountability regarding NICE's treatment of innovative technologies, as well as raising additional concerns about equity. We conclude that further research needs to evaluate how NICE can promote health and health equity alongside healthcare innovation and draw some general lessons for healthcare priority-setting bodies like NICE
Business · Economic growth · Economics · Health care · Health care reform · Healthcare policy · Market economy · Social policy · Value (mathematics · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Healthcare Policy and Management · Health Policy
| Unique citing works | 4 |
|---|---|
| Citations per year | 0,8 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |