Health Technology Assessment and Health Policy Today: A Multifaceted View of their Unstable Crossroads

1. Front Matter

   Pages I-XVI

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2. Critical Overview

   1. Front Matter

      Pages 1-1

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   2. Health Technology Assessment and Its Interface with Regulation, Policy and Management

      • Michael Drummond

      Pages 3-14

   3. Health Technology Assessment (HTA) and the Incentives to Innovation in the Life Cycle of a Health Technology

      • Joan Rovira

      Pages 15-35

   4. The Wisdom Tooth of Health Technology Assessment

      • Ricard Meneu

      Pages 37-49

   5. Regaining Health Technology Assessment from Oblivion: Improving and Integrating Regulation of Drugs, Medical Devices, Diagnostic Tests and Surgical Innovations

      • Carlos Campillo-Artero

      Pages 51-73

3. Issues

   1. Front Matter

      Pages 75-75

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   2. Four Issues in Cost-Effectiveness Analysis and Health Technology Assessment: a View from the Touch-line

      • Anthony J. Culyer

      Pages 77-94

   3. Measuring QALYs for HTA and Health Policy Decision Making: Bridging the Gap Between Power and Act

      • José-María Abellán-Perpiñán

      Pages 95-107

   4. What Health Technology Assessment System Do we Really Need? A Critical Review of the Current Situation of Health Technology Assessment in Five European Countries

      • Juan E. del Llano-Señarís

      Pages 109-129

   5. The Final Stretch? How Shared Decision Making Extends Health Technology Assessment to Meet Patient Preference

      • Stuart W. Grande, Glyn Elwyn

      Pages 131-146

   6. Dissemination of Health Technology Assessment

      • H. David Banta

      Pages 147-156

This book disentangles the issues in connection with the advancement of Health Technology Assessment (HTA) and its interface with health policy. It highlights the factors that should shape its progress in the near future. Interdisciplinary and critical views from a number of professionals are put together in a prescient order to cast some light and make recommendations as to the next steps HTA should take to be fit for purpose. A wealth of documents dealing with HTA have been published over the last three decades. HTA allegedly is one of the bedrocks of regulation and medical decision making. However, counter vailing visions contend that geographical variations in the role that HTA is actually playing within countries pinpoints specific room for improvement. Given our social preferences, cherry-picking HTA’s features and successes over the last decades moves it away from its possibility frontier. Some of the most noteworthy hindrances that HTA faces, in several countries, to making headway towards its consolidation as an efficient tool for regulation and decision making are as follows: insufficient resources, delays in assessment, inadequate priority setting, regulatory capture, public distrust, actual influence on regulatory decisions, the need for strengthening international cooperation and harmony, the lack of sound and consistent assessments of diagnostic tests, medical devices and surgical innovations and limited dissemination. Time has come for HTA to take a renewed stand. There is a pressing need to submit HTA to in-depth critical scrutiny.

• Health Care Regulation
• Health Governance
• Health Management
• Health Policy
• Health Technology Assessment

• Spanish Association for Healthcare Technology,Evaluation (AEETS), Director, Gaspar Casal FoundationPresident, Madrid, Spain

  Juan E. del Llano-Señarís

• Health Services and Policy Research, Balearic Health Service, Palma de Mallorca, Spain

  Carlos Campillo-Artero

Policies and ethics