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The representation of public values in health technology assessment to inform funding decisions: the case of Australia's national funding bodies

Published online by Cambridge University Press:  18 January 2021

Hossein Haji Ali Afzali Open the ORCID record for Hossein Haji Ali Afzali [Opens in a new window] ,
Jackie Street Open the ORCID record for Jackie Street [Opens in a new window] ,
Tracy Merlin  and
Jonathan Karnon
Hossein Haji Ali Afzali*
Affiliation:
College of Medicine and Public Health, Flinders University, Bedford Park, South Australia 5042, Australia
Jackie Street
Affiliation:
School of Health and Society, University of Wollongong, Wollongong, New South Wales 2522, Australia
Tracy Merlin
Affiliation:
School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia
Jonathan Karnon
Affiliation:
College of Medicine and Public Health, Flinders University, Bedford Park, South Australia 5042, Australia
*
Author for correspondence: Hossein Haji Ali Afzali, E-mail: [email protected]
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Abstract

Over the past few years, there has been an increasing recognition of the value of public involvement in health technology assessment (HTA) to ensure the legitimacy and fairness of public funding decisions [Street J, Stafinski T, Lopes E, Menon D. Defining the role of the public in Health Technology Assessment (HTA) and HTA-informed decision-making processes. Int J Technol Assess Health Care. 2020;36:87–95]. However, important challenges remain, in particular, how to reorient HTA to reflect public priorities. In a recent international survey of thirty HTA agencies conducted by the International Network of Agencies for HTA (INAHTA), public engagement in HTA was listed as one of the “Top 10” challenges for HTA agencies [O'Rourke B, Werko SS, Merlin T, Huang LY, Schuller T. The “Top 10” challenges for health technology assessment: INAHTA viewpoint. Int J Technol Assess. 2020;36:1–4].

Historically, Australia has been at the forefront of the application of HTA for assessing the effectiveness and cost-effectiveness of new health technologies to inform public funding decisions. However, current HTA processes in Australia lack meaningful public inputs. Using Australia as an example, we describe this important limitation and discuss the potential impact of this gap on the health system and future directions.

Keywords

Health technology assessmentPublic valuesDecision makingAustralia
Type
Perspective
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e22
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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