National Institute for Health and Care Excellence, social values and healthcare priority setting

National Institute for Health and Care Excellence.

National Institute for Health and Clinical Excellence appraisal and ageism.

The requirements of the UK Equality Act 2010 and some high profile criticism for using a potentially ageist methodology have prompted the National Institute for Health and Clinical Excellence (NICE) to assess the processes and methodology it uses to make appraisal decisions. This paper argues that NICE has established rigorous systems to protect against ageist decisions, has no track record of ...

Value congruence in health care priority setting: social values, institutions and decisions in three countries.

Most developed democracies have faced the challenge of priority setting in health care by setting up specialized agencies to take decisions on which medical services to include in public health baskets. Under the influence of Daniels and Sabin's seminal work on the topic, agencies increasingly aim to fulfil criteria of procedural justice, such as accountability and transparency. We assume, howe...

Methods for the estimation of the National Institute for Health and Care Excellence cost-effectiveness threshold.

BACKGROUND Cost-effectiveness analysis involves the comparison of the incremental cost-effectiveness ratio of a new technology, which is more costly than existing alternatives, with the cost-effectiveness threshold. This indicates whether or not the health expected to be gained from its use exceeds the health expected to be lost elsewhere as other health-care activities are displaced. The thres...

Aligning values and outcomes in priority–setting for health

Numerous factors and competing interests shape policymaking and budget allocation for health and health systems. In particular, the values and outcomes prioritized by policymakers have important implications for health spending and the impacts they have on populations and countries. Based on Harvard’s Ministerial Leadership Program, this article provides an overarching and integrative framework...