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At the Center of Health Care Policy Making

Author

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  • Andrew J. Stevens
  • Carole Longson

Abstract

The UK’s National Institute for Health and Clinical Excellence (NICE), a world leader in health technology assessment (HTA), sits at the interface of a policy environment where everything is urgent and consensus between policy makers and stakeholders is sometimes difficult to attain. The majority of stakeholder challenges to NICE’s use of HTA concern the interpretation of evidence and the methodological rules applied by the appraisal committees. We discuss the most significant issues: choice of comparators; evidence synthesis and indirect comparison; parameter selection, especially for the valuation of quality of life; extrapolation beyond clinical trial data; and the level of the cost-effectiveness threshold.

Suggested Citation

  • Andrew J. Stevens & Carole Longson, 2013. "At the Center of Health Care Policy Making," Medical Decision Making, , vol. 33(3), pages 320-324, April.
    • Handle: RePEc:sae:medema:v:33:y:2013:i:3:p:320-324
    DOI: 10.1177/0272989X13480563
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    Cited by:

    1. C Simone Sutherland & Joshua Yukich & Ron Goeree & Fabrizio Tediosi, 2015. "A Literature Review of Economic Evaluations for a Neglected Tropical Disease: Human African Trypanosomiasis (“Sleeping Sickness”)," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 9(2), pages 1-22, February.
    2. Barron, Anthony J.G. & Klinger, Corinna & Shah, Sara Mehmood Birchall & Wright, John S.F., 2015. "A regulatory governance perspective on health technology assessment (HTA) in France: The contextual mediation of common functional pressures," Health Policy, Elsevier, vol. 119(2), pages 137-146.

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