Pan

el

sessio

n:

Sup

portin

g to

ugh

d

ecisio

ns:

linkin

g

Health

te

chn

olo

gy

asse

ssme

nt (H

TA)

an

d

natio

nal

prio

rity

settin

g

Th

e In

tern

atio

nal

Socie

ty fo

r P

rioritie

s in

H

ealth

Care

, A

pril 2

3-2

5,

2010, B

osto

n,

Massach

usetts

, U

SA

The m

ajo

r force

s driv

ing

up

health

care

costs

world

wid

e

Dem

an

ds o

n h

ealth

care

system

s are

incre

asin

g - a

s pop

ula

tion

s gro

w a

nd

/or a

ge,

- scien

ce a

dva

nce

s an

d

- pu

blic e

xpecta

tion

s of h

ealth

ca

re a

nd

qu

ality o

f life in

crease

.

Ch

alle

ng

es:

Qu

ality, e

qu

ity an

d u

nive

rsal

cove

rag

e a

nd

acce

ss are

of

incre

asin

g co

nce

rn in

low

an

d

mid

dle

inco

me a

s well a

s hig

h

inco

me co

un

tries.

At th

e sa

me tim

e, sp

en

din

g o

n

health

care

is com

ing

un

der

incre

asin

g p

ressu

re a

nd

scru

tiny.

Wh

at a

re th

e a

vaila

ble

meth

od

s or

tools fo

r those

havin

g to

make

decisio

ns a

bou

t prio

rity settin

g

or ra

tion

ing

of h

ealth

care

se

rvices?

Sabin and Daniels’s (2008):Conditions for fair and open processes for prioritization:

• Limit-setting must be public (both decisions and grounds for making them).

• The grounds for decisions must be seen as (agreed upon to be) relevant to meet health care needs fairly.

• Limit-setting decisions must be subject to

revision and appeal = reversible over time (and the process must meet the first two conditions).

• Some form of regulation must be in place to ensure that the other conditions are met.

Panel session:

The aim of this panel session is first to present the topic of priority setting in health care;

and to look more closely how HTAs or similar tools, as the new comparative effectiveness program in USA, can be used as decision making support in these situations;

- possibilities and limitations of using HTAs -

Contributors:

“Linking HTA to priority setting – framework, concepts, and values”, Presenter: Professor Ole Frithjof Norheim (PhD); University of Bergen, Norway  “The link between HTA and priority setting – the case of the USA”Presenter: President Steven Pearson (MD), Institute for Clinical and Economic Review (ICER) at Harvard Medical School, Boston, USA “Strengths and weaknesses of HTA as a tool for decision making support – applied to priority setting”. Presenter: Director Per Carlson (PhD), National Centre for Priority Setting in Health Care, Sweden

“The link between HTA and national priority setting – the case of Norway”Presenter:, Senior Adviser Ånen Ringard (MA), Norwegian Knowledge Centre for the Health Services/ Norwegian Council for Priority Setting in Health Care