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Health technology assessment, value-based decision making, and innovation
Chris Henshall1, Tara Schuller,
1University of York.
Summary
Understanding health technology assessment (HTA) value is crucial. This study explores diverse perspectives on value, emphasizing patient health and broader societal benefits, and proposes actions for better decision-making.
Area of Science:
- Health Economics
- Health Technology Assessment
- Policy Analysis
Background:
- Increasing importance of identifying value and value for money in healthcare.
- Need for health technology assessment (HTA) and decision-makers to incorporate patient and societal values.
- Exploring the interplay between innovation and value assessments.
Purpose of the Study:
- Summarize key points from an HTA International (HTAi) Policy Forum discussion.
- Explore various perspectives on health technology value.
- Identify actionable steps for improving value assessment and decision-making processes.
Main Methods:
- Synthesis of presentations, discussions, and background papers from an HTAi Policy Forum.
- Analysis of diverse viewpoints on defining and assessing value in healthcare.
- Identification of common themes and differences in decision-making systems.
Main Results:
- Patient health is central to value, with broader benefits for patients, caregivers, systems, and society.
- Decision-making systems consider similar value elements, but assessment methods vary.
- Mathematical approaches cannot replace expert judgment in decision-making.
- Discussion on the value of innovation and its assessment.
Conclusions:
- Five key actions proposed: a general value assessment framework, disease-specific guidance, joint industry advice, a framework for progressive decision-making, and adapting HTA for medical devices.
- Moving towards "progressive health system decision making" involves lifecycle-based evidence and decisions.
- Emphasizes the need for adaptive HTA, coverage, and procurement strategies, particularly for medical devices.
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