Hic sunt dracones: the future of health technology assessment--one economist's perspective. 2012

Anthony J Culyer
University of Toronto, Toronto, ON, Canada. tony.culyer@utoronto.ca

The dragons mentioned in the title are (a) the failure of HTA methodologists to develop--and hence practitioners to use--tools for the consideration of equity in economic appraisals of health care technologies; (b) a similar and reinforcing failure to devise and implement processes of decision making that would facilitate the incorporation of equity in HTA. The draconian consequence is that equity is hardly considered at all and certainly does not get the same consideration as efficiency. Some initial suggestions are made as to how these dragons may be slain.

UI MeSH Term Description Entries
D011634 Public Health Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level. Community Health,Environment, Preventive Medicine & Public Health,Environment, Preventive Medicine and Public Health,Health, Community,Health, Public
D003657 Decision Making The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea. Credit Assignment,Assignment, Credit,Assignments, Credit,Credit Assignments
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013673 Technology Assessment, Biomedical Evaluation of biomedical technology in relation to cost, efficacy, utilization, etc., and its future impact on social, ethical, and legal systems. Assessment, Biomedical Technology,Assessment, Technology,Biomedical Technology Assessment,Technology Assessment,Technology Assessment, Health,Assessment, Health Technology,Assessments, Biomedical Technology,Assessments, Health Technology,Assessments, Technology,Biomedical Technology Assessments,Health Technology Assessment,Health Technology Assessments,Technology Assessments,Technology Assessments, Biomedical,Technology Assessments, Health
D054625 Healthcare Disparities Differences in access to or availability of medical facilities and services. Disparities, Healthcare,Health Care Disparities,Health Care Inequalities,Healthcare Disparity,Healthcare Inequalities,Disparities, Health Care,Disparity, Health Care,Disparity, Healthcare,Health Care Disparity,Health Care Inequality,Healthcare Inequality,Inequalities, Health Care,Inequalities, Healthcare,Inequality, Health Care,Inequality, Healthcare

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