Equidad en Salud y Evaluación de Tecnologías Sanitarias en Chile
Date
2014
Type:
Artículo
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5
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Journal Title
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Publisher
Sociedad Chilena de Medicina
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Abstract
Equity has been recognized as one of the driving principles of many
health systems in the world. In Latin America, Chile has led the explicit
inclusion of equity in their health policies, which is reflected in its recent
health reform. On the other hand, Chile faces the challenge of defining
and implementing a policy for health technology assessment (HTA),
which should be consistent with the equity principles that underlie the
Chilean national health system. This paper reviews the equity concept
emphasizing the relevance of socioeconomic inequalities. Furthermore, it
examines how international HTA agencies have explicitly included this
element in the evaluation and decision processes. It presents the English
case, which highlights the elements of procedural justice rather than
adopting a normative position regarding equity. Finally, it examines the
methods that have been developed aiming to make explicit consideration
of equity in HTA. It concludes that the methodological development to
incorporate equity elements with empirical basis is recent and limited.
The consideration of equity is, in most of the cases, left to the instances
of deliberative participation.
Description
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Citation
Rev Med Chile 2014; 142 (S1): S 45-49
Keywords
Decision making, Inequalities, Social justice, Technology assessment