NICE's social value judgements about equity in health and health care
NICE's social value judgements about equity in health and health care
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DOI：
10.1017/s1744133112000096
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发表时间：
2013-04-01
影响因子：
1.7
通讯作者：
Littlejohns, Peter
中科院分区：
文献类型：
--
作者：
Shah, Koonal K.;Cookson, Richard;Littlejohns, Peter
国家健康与临床卓越研究所(NICE)定期发布支持其建议的证据和推理的细节，包括其社会价值判断(SVJ)。然而，到目前为止，与追求改善总体人口健康的成本效益相比，NICE关于卫生和保健分配的公平的SVJ没有那么具体和系统。NICE采取务实的、基于案例的方法来制定其SVJ原则，借鉴其咨询机构在做出赢得广泛利益相关者尊重的决定方面的积累经验。本文旨在描述NICE迄今用来指导其决策的关于卫生和医疗保健公平的SVJ。为此，我们回顾了NICE方法学指南中报告的一般SVJ和NICE指南中关于特定卫生保健技术和公共卫生干预措施的特定病例SVJ。
The National Institute for Health and Clinical Excellence (NICE) routinely publishes details of the evidence and reasoning underpinning its recommendations, including its social value judgements (SVJs). To date, however, NICE's SVJs relating to equity in the distribution of health and health care have been less specific and systematic than those relating to cost-effectiveness in the pursuit of improved total population health. NICE takes a pragmatic, case-based approach to developing its principles of SVJ, drawing on the cumulative experience of its advisory bodies in making decisions that command respect among its broad range of stakeholders. This paper aims to describe the SVJs about equity in health and health care that NICE has hitherto used to guide its decision making. To do this, we review both the general SVJs reported in NICE guidance on methodology and the case-specific SVJs reported in NICE guidance about particular health care technologies and public health interventions.