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

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  • Barron, Anthony J.G.
  • Klinger, Corinna
  • Shah, Sara Mehmood Birchall
  • Wright, John S.F.

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.

Suggested Citation

  • Barron, Anthony J.G. & Klinger, Corinna & Shah, Sara Mehmood Birchall & 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, Elsevier, vol. 119(2), pages 137-146.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:2:p:137-146
    DOI: 10.1016/j.healthpol.2014.10.002
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    References listed on IDEAS

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    1. Klingler, Corinna & Shah, Sara M.B. & Barron, Anthony J.G. & Wright, John S.F., 2013. "Regulatory space and the contextual mediation of common functional pressures: Analyzing the factors that led to the German Efficiency Frontier approach," Health Policy, Elsevier, vol. 109(3), pages 270-280.
    2. Andrew J. Stevens & Carole Longson, 2013. "At the Center of Health Care Policy Making," Medical Decision Making, , vol. 33(3), pages 320-324, April.
    3. Braithwaite,John & Drahos,Peter, 2000. "Global Business Regulation," Cambridge Books, Cambridge University Press, number 9780521784993.
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    Cited by:

    1. Miller, Fiona A. & Lehoux, Pascale & Rac, Valeria E. & Bytautas, Jessica P. & Krahn, Murray & Peacock, Stuart, 2020. "Modes of coordination for health technology adoption: Health Technology Assessment agencies and Group Procurement Organizations in a polycentric regulatory regime," Social Science & Medicine, Elsevier, vol. 265(C).
    2. Ivlev, Ilya & Vacek, Jakub & Kneppo, Peter, 2015. "Multi-criteria decision analysis for supporting the selection of medical devices under uncertainty," European Journal of Operational Research, Elsevier, vol. 247(1), pages 216-228.

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