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"Expanding health technology assessment towards broader value: Ireland " by Irina Kinchin, Valerie Walshe et al.

Healthcare innovations often represent important improvements in population welfare, but at what cost, and to whom? Health technology assessment (HTA) is a multidisciplinary process to inform resource allocation. HTA is conventionally anchored on health maximization as the only relevant output of health services. If we accept the proposition that health technologies can generate value outside the healthcare system, resource allocation decisions could be suboptimal from a societal perspective. Incorporating broader value in HTA as derived from social values and patient experience could provide a richer evaluative space for informing resource allocation decisions. This article considers how HTA is practiced and what its current context implies for adopting broader value to evaluating health technologies. Methodological challenges are highlighted, as is a future research agenda. Ireland serves as an example of a healthcare system that both has an explicit role for HTA and is evolving unde ....

Benefits Beyond Health , Ealth Technology Assessment Hta , Outcome Measurement , Resource Allocation , Social Value ,

"What does a "good life" mean for people living with dementia? A protoc" by Irina Kinchin, Iracema Leroi et al.

Introduction: Economic evaluation currently focuses almost exclusively on the maximization of health, using the Quality-Adjusted Life-Year (QALY) framework with instruments such as the EQ-5D, with a limited number of health-focused dimensions providing the assessment of health benefit. This evaluative framework is likely to be insufficient for setting priorities in dementia care because of its exclusive concern with health. Data are also often collected from the perspective of a proxy, limiting the voice of those living with dementia in decision-making. This protocol describes a research project that aims to gather the perspectives of people living with dementia, their insights, and preferences for assessing their quality of life to inform economic evaluation outcome measurement and design with a goal of creating a more robust evidence base for the value of healthcare services. Specifically, this study will elucidate what a “good life” means to people living with dementia and how w ....

County South Dublin , Tallaght University Hospital Joint Research Ethics Committee , Tallaght University Hospitals , Quality Adjusted Life Year , Approval Date , Capability Approach , Economic Evaluation , Outcome Measurement , Reference Based Health Related Quality Of Life ,