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dc.contributor.authorWhitty, Jennifer A
dc.contributor.authorLittlejohns, Peter
dc.date.accessioned2018-01-23T05:36:51Z
dc.date.available2018-01-23T05:36:51Z
dc.date.issued2015
dc.identifier.issn0168-8510
dc.identifier.doi10.1016/j.healthpol.2014.09.003
dc.identifier.urihttp://hdl.handle.net/10072/124964
dc.description.abstractObjective To describe the role of social values in priority setting related to health technology assessment processes and decision-making in Australia. Approach The processes and decision criteria of the Pharmaceutical and Medical Benefits Advisory Committees are described based on literature and policy sources, and analysed using a framework for identifying social values in priority-setting. Findings Transparency and accountability of processes are apparent. Participation balances inclusiveness and effectiveness of decision-making, but presents an opportunity to enhance priority setting processes. Clinical and cost-effectiveness are important content considerations. Social values related to justice/equity are considered, without quantification of criteria weights for equity relative to other factors. HTA processes support solidarity through subsidising approved technologies for all Australians, whilst retaining autonomy by permitting non-subsidised technologies to be accessed privately, leading to possible tension between the values of solidarity, autonomy and equity. Conclusions Priority setting related to health technology subsidy incorporates a range of inter-related social values in the processes and content of decision-making. Participation in decision-making could arguably be improved if a patient and public engagement policy were to be formulated alongside more widespread changes across processes to assess social values using approaches such as the Citizens’ Jury.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom127
dc.relation.ispartofpageto136
dc.relation.ispartofissue2
dc.relation.ispartofjournalHealth Policy
dc.relation.ispartofvolume119
dc.subject.fieldofresearchPolicy and administration
dc.subject.fieldofresearchcode4407
dc.titleSocial values and health priority setting in Australia: An analysis applied to the context of health technology assessment
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.hasfulltextNo Full Text
gro.griffith.authorWhitty, Jennifer A.


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