Health technology assessment in Europe - Improving clarity and performance

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This paper discusses the challenges facing health technology assessment (HTA) in Europe, based on an explicit analysis of the characteristics of an "optimal" HTA system. It has three objectives: a) to elaborate an explicit system of policy goals and the characteristics of an optimal HTA system that facilitates the achievement of these goals; b) to identify the general institutional incentive barriers (government and market failures) that prevent the attainment of an optimal HTA system in Europe; and c) to argue that evaluation of the implications of health technologies for equity and inequality in health is an essential part of this optimal system and a considerable challenge for HTA decision makers. especially as national governments realign policy toward equity goals.

Original languageEnglish
Pages (from-to)639-650
Number of pages12
JournalInternational Journal of Technology Assessment in Health Care
Issue number2
Publication statusPublished - 2000


  • technology assessment
  • biomedical
  • evidence-based medicine
  • evaluation research
  • healthcare quality
  • access and evaluation
  • CARE
  • UK

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