Patient and Public Involvement in Health Economics Modelling Raises the Need for Normative Guidance

Harvard, Stephanie; Winsberg, Eric

doi:10.1007/s40273-023-01274-7

Cited by 8 publications

(1 citation statement)

References 36 publications

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“…Recent literature is looking into developing decision models with the help of patient and public involvement thus removing possibly the bias of behavioural economics [7]. Healthcare being a demanding commodity, there are trade offs such as utilisation of resources for a specific task which could have been used elsewhere thus leading to the term called "opportunity cost" [8].…”

Section: Iv) Cost-benefit Analysis (Cba)mentioning

confidence: 99%

Health Economics- An Essential Armamentarium to the Present Day Clinician

Subrahmanyam

2023

JAMPS

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Given the present financial climate, increased spending on the healthcare by the system has become a challenge leaving it embroiled in a state of disarray. With this background, clinician’s decision-making ability comes with having the knowledge of the economic framework in order to provide the best care for our patients. Health economics (HE) thus has become an emerging discipline which is an essential armamentarium for today’s clinician. In this paper, we look at the essentials of the economics as well as the internal and external shocks that has influenced the services. We also discuss the economic evaluation parameters which is essential for planning the future of the services thus highlighting the importance of HE with a strong argument to be incorporated into the medical curriculum in future.

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Section: Iv) Cost-benefit Analysis (Cba)mentioning

confidence: 99%

Health Economics- An Essential Armamentarium to the Present Day Clinician

Subrahmanyam

2023

JAMPS

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Understanding the Normativity of Health Technology Assessment: Ontological, Moral, and Epistemological Commitments

Bloemen,

Oortwijn,

van der Wilt

2024

Health Care Anal

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The inherent normativity of HTA can be conceptualized as a result of normative commitments, a concept that we further specify to encompass moral, epistemological and ontological commitments at play in the practice of HTA. Based on examples from literature, and an analysis of the example of assessing Non-Invasive Prenatal Testing (NIPT), we will show that inevitable normative decisions in conducting an assessment commits the HTA practitioner to moral (regarding what makes a health technology desirable), ontological (regarding which effects of health technology are conceivable), and epistemological (regarding how to obtain reliable information about health technology) norms. This highlights and supports the need for integrating normative analysis and stakeholder participation, providing guidance to HTA practitioners when making normative choices. This will foster a shared understanding between those who conduct, use, or are impacted by assessments regarding what are conceivable and desirable outcomes of using health technology, and how to collect reliable information to assess whether these outcomes are (going to be) realized. It also provides more insight into the implications of different normative choices.

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