New Public Governance in health care: Health Technology Assessment for Canadian pharmaceuticals

Fierlbeck, Katherine; Gardner, William; Levy, Adrian R.

doi:10.1111/capa.12253

Cited by 7 publications

(8 citation statements)

References 51 publications

(55 reference statements)

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“…53 Similarly, the fragmented multilevel nature of Canadian healthcare has conditioned the extent and nature of intra-Canadian cooperation of HTA bodies. 55 Further, conscious strategies of key actors may matter: functional pressures or historical administrative traditions of each country may have less influence on what HTA bodies looks like than high politics, such as the left-right divide. 56 When given the chance, governments strategically shape the institutional design of HTA bodies according to their political preferences.…”

Section: What Explains Variations In How Hta Is Institutionalized Andmentioning

confidence: 99%

The Emerging Social Science Literature on Health Technology Assessment: A Narrative Review

et al. 2020

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Background: Social scientists have paid increasing attention to health technology assessment (HTA). This paper provides an overview of existing social scientific literature on HTA, with a focus on sociology and political science and their subfields. Methods: Narrative review of key pieces in English. Results: Three broad themes recur in the emerging social science literature on HTA: the drivers of the establishment and concrete institutional designs of HTA bodies; the effects of institutionalized HTA on pricing and reimbursement systems and the broader society; and the social and political influences on HTA decisions. Conclusion: Social scientists bring a focus on institutions and social actors involved in HTA, using primarily small-N research designs and qualitative methods. They provide valuable critical perspectives on HTA, at times challenging its otherwise unquestioned assumptions. However, they often leave aside questions important to the HTA practitioner community, including the role of culture and values. Closer collaboration could be beneficial to tackle new relevant questions pertaining to HTA.

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Section: What Explains Variations In How Hta Is Institutionalized Andmentioning

confidence: 99%

The Emerging Social Science Literature on Health Technology Assessment: A Narrative Review

et al. 2020

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“…NPG discourse suggests that organizations should work together closely, integrating organizations and other entities into a single coherent body (Fierlbeck, Gardner and Levy 2018). The organizations involved in a policy network should include independent actors from both public and private sectors who interact continuously (Sorensen and Torfing 2007;Torfing 2012).…”

Section: Joined-up Governancementioning

confidence: 99%

Strategy design for New Public Governance and horizontal initiatives

Taylor¹,

Schwartz²,

Trowbridge³

et al. 2021

Can Public Adm

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Governments deploy comprehensive strategies to address complex social problems with various New Public Governance and horizontal initiatives. Minimal attention, however, has focused on developing evidence-informed strategy design for such initiatives. Using a systematic literature review, five strategy design principles were identified: 1) proper selection of interventions; 2) system enablers; 3) a guiding purpose; 4) substantive political commitment; and 5) joined-up governance. Three case studies including document review and interviews tested strategy design principles. Empirical work supported, expanded, and further refined these principles. Application of these principles would likely contribute to improving the success of horizontal strategy initiatives. Real-world political pressures and public administration constraints can be somewhat alleviated through learnings from well-designed strategies and experiences.Sommaire : Les gouvernements utilisent des stratégies globales pour répondre à des problèmes sociaux complexes avec diverses initiatives horizontales et de la Nouvelles gouvernance publique. Néanmoins, ces initiatives n'ont recu que peu d'attention en ce qui concerne l'élaboration d'une conception stratégique fondée sur des données probantes. À l'aide d'un examen systématique de la littérature, nous avons identifié cinq principes de conception stratégique : 1) une sélection appropriée des interventions; 2) des facilitateurs du système; 3) un objectif directeur; 4) un engagement politique réel; et 5) une gouvernance conjointe. Trois études de cas comprenant un examen de documents et des entretiens ont testé les principes de

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“…Collaborative governance also demands more than the responsiveness valued by the New Public Management movement (Vigoda 2002). This responsiveness, which sees the citizen as client, values efficiency over accountability (Tindal et al 2017;Vigoda 2002) and expects professional policy practitioners to wield their decisionmaking authority autonomously and verticallyreporting back up the chain of command (Christensen 2012;Fierlbeck, Gardner, and Levy 2018;Vigoda 2002). But as civil service managers have come to be viewed not as leaders of "service units producing public services" (Osborne 2006, 382), but also as "network managers and partnership leaders", they have been asked to think and act "horizontally" as well (Christensen 2012, 1, 7).…”

Section: Collaboration and Consultationmentioning

confidence: 99%

Can consultation ever be collaborative?

Johnson

Howsam

2018

Policy Design and Practice

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Consultation may have the potential to be an effective mechanism of collaborative governance but only insofar as it is empowered. Empowerment in this context means that consultations are characterized by a degree of decision-making power or, at least, the power to directly influence decisions. This potential for empowered consultation is far from realized in policy processes. Not only is it a long road to consultations that go beyond merely justifying elites' decisions, but there is even further to go toward entrenching empowered consultation in the formulation and implementation of public policy. In this paper, we identify categories of consultation, including their features and their ends, ranging from the disempowered to the empowered. We also make a normative argument for empowered consultation, while articulating the limitations of this mechanism.

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New Public Governance in health care: Health Technology Assessment for Canadian pharmaceuticals

Cited by 7 publications

References 51 publications

The Emerging Social Science Literature on Health Technology Assessment: A Narrative Review

The Emerging Social Science Literature on Health Technology Assessment: A Narrative Review

Strategy design for New Public Governance and horizontal initiatives

Can consultation ever be collaborative?

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