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A regulatory governance perspective on health technology assessment (HTA) in France: the contextual mediation of common functional pressures

Barron, Anthony J.G. and Klinger, Corinna and Shah, Sara Mehmood and Wright, John S. F. (2015) A regulatory governance perspective on health technology assessment (HTA) in France: the contextual mediation of common functional pressures. Health Policy, 119 (2). pp. 137-146. ISSN 0168-8510

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Identification Number: 10.1016/j.healthpol.2014.10.002

Abstract

The new regulatory governance perspective has introduced several insights to the study of health technology assessment (HTA): it has broadened the scope for the analysis of HTA; it has provided a more sophisticated account of national diversity and the potential for cross-border policy learning; and, it has dissolved the distinction between HTA assessment and appraisal processes. In this paper, we undertake a qualitative study of the French process for HTA with a view to introducing a fourth insight: that the emergence and continuing function of national agencies for HTA follows a broadly evolutionary pattern in which contextual factors play an important mediating role. We demonstrate that the French process for HTA is characterised by distinctive institutions, processes and evidential requirements. Consistent with the mediating role of this divergent policy context, we argue that even initiatives for the harmonisation of national approaches to HTA are likely to meet with divergent national policy responses.

Item Type: Article
Official URL: http://www.sciencedirect.com/science/journal/01688...
Additional Information: © 2014 Elsevier Ireland Ltd.
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Date Deposited: 30 Jan 2015 12:01
Last Modified: 14 Oct 2015 23:00
Funders: Higher Education Funding Council of England’s Strategic Development Fund
URI: http://eprints.lse.ac.uk/id/eprint/60811

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